Idea Community LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IDEA COMMUNITY LLC

Practice address

7855 NW 12TH St Ste 207
Doral, FL 33126-1819

Phone

(786) 257-6184

NPI assigned

Aug 9, 2021

Organization subpart

No

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

Authorized official

Name

Legna Rio

Title

Owner

Phone

(786) 257-6184

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1558035949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 NW 12TH ST STE 207",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261819",
            "telephone_number": "786-257-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 NW 12TH ST STE 207",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261819",
            "telephone_number": "786-257-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEA COMMUNITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "RIO",
        "authorized_official_first_name": "LEGNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-257-6184"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.