Organization Active NPI

Amalia'S Community Behavioral Management Corp

  • Case Management Agency
  • Davie, FL
National Provider Identifier
1609487032
Registry record updated Aug 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
AMALIA'S COMMUNITY BEHAVIORAL MANAGEMENT CORP
Practice address
5400 S University Dr Ste 217
Davie, FL 33328-5310
Phone
(954) 900-2931
Fax
(954) 909-0174
NPI assigned
Aug 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2020

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

Authorized official

Name
German Gomez
Title
Owner
Phone
(786) 339-3645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

5400 S University Dr Ste 217
Davie, FL 33328-5310

Mailing address

9440 NW 35TH CT
Miami, FL 33147-2730

National Provider Directory

National Provider Directory

Locations

5400 S University Dr
Ste 217
Davie, FL 33328
Phone (954) 900-2931

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598659200000",
    "number": "1609487032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 NW 35TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331472730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR STE 217",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285310",
            "telephone_number": "954-900-2931",
            "fax_number": "954-909-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMALIA'S COMMUNITY BEHAVIORAL MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-29",
        "certification_date": "2020-08-29",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "GERMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-339-3645"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2020; 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.