Organization Active NPI

Blessed Group Home

  • Developmentally Disabled Services Day Training Agency
  • Miami, FL
National Provider Identifier
1578223541
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
BLESSED GROUP HOME
Practice address
20928 SW 118TH CT
Miami, FL 33177-7023
Phone
(786) 314-1267
NPI assigned
Dec 17, 2021
Last updated
Jan 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Lisandra Hernandez, REGISTER NURSE
Title
Registered Nurse
Phone
(786) 314-1267

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU

Addresses

Primary practice location

20928 SW 118TH CT
Miami, FL 33177-7023

Mailing address

2181 NW 99TH Ave
Pembroke Pines, FL 33024-1416
Phone (786) 314-1267

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1578223541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 NW 99TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330241416",
            "telephone_number": "786-314-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20928 SW 118TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777023",
            "telephone_number": "786-314-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LISANDRA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "786-314-1267",
        "authorized_official_credential": "REGISTER NURSE"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 26, 2022; 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.