Active NPI
Blessed Group Home
- Developmentally Disabled Services Day Training Agency
- Miami, FL
National Provider Identifier
1578223541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- 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, 2022
- 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
- Lisandra Hernandez, REGISTER NURSE
- Title
- Registered Nurse
- Phone
- (786) 314-1267
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.