Active NPI
Friendly Hearts Group Home Inc
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Miami, FL
National Provider Identifier
1508149931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 11-988-GH
- Legal business name
- FRIENDLY HEARTS GROUP HOME INC
- Practice address
- 10542 SW 161St Ave
Miami, FL 33196-4574 - Phone
- (305) 382-9646
- Fax
- (305) 382-9646
- NPI assigned
- Sep 21, 2011
- Last updated
- Sep 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alysne Olivares
- Title
- Vice-President
- Phone
- (786) 253-9646
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 11-988-GH | FL | Primary |
Addresses
Primary practice location
10542 SW 161St Ave
Miami, FL 33196-4574
Mailing address
10542 SW 161St Ave
Miami, FL 33196-4574
Phone (305) 382-9646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003928100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavior Technician
- Cutler Bay, FL
- NPI 1568924173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316563200000",
"number": "1508149931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10542 SW 161ST AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331964574",
"telephone_number": "305-382-9646",
"fax_number": "305-382-9646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10542 SW 161ST AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331964574",
"telephone_number": "305-382-9646",
"fax_number": "305-382-9646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIENDLY HEARTS GROUP HOME INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A",
"authorized_official_last_name": "OLIVARES",
"authorized_official_first_name": "ALYSNE",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "786-253-9646"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "FL",
"license": "11-988-GH",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003928100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.