Lyam Facilities Corp

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

LYAM FACILITIES CORP

Practice address

551 E Evanston Cir
Fort Lauderdale, FL 33312-1930

Phone

(305) 333-2659

NPI assigned

Nov 1, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amarilys De Jesus Gomez

Title

Owner

Phone

(786) 223-7754

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1508521964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 E EVANSTON CIR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121930",
            "telephone_number": "305-333-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 E EVANSTON CIR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121930",
            "telephone_number": "305-333-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYAM FACILITIES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "AMARILYS",
        "authorized_official_middle_name": "DE JESUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-223-7754"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alise Lynch-King, SC
• Diana A Lynch, ARNP
• Jason L Lynch, PHARMD
• Joyce Lynch, MSW, LCSW

• Developmental Disabilities Clinic/Center in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.