Village Group LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

VILLAGE GROUP LLC

Practice address

2824 Washington Dr
Fort Lauderdale, FL 33311-6658

Phone

(305) 992-5119

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Roderick MackNPI 1013669621

Title

Director

Phone

(305) 992-5119

Specialties & licenses 1

Addresses

Practitioners 1

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

• Roderick Mack

  • Day Training/Habilitation Specialist
  • Fort Lauderdale, FL
  • NPI 1013669621
  NPD Authorized official

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1619629235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5887 NW 66TH WAY",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 WASHINGTON DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333116658",
            "telephone_number": "305-992-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-992-5119"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shrestha Vijayendra
• Vikram Thakar DPM PA
• Richelle Anne Villa
• Miguel Villacorta, D.O., MPH
• Stella Kocovic Villacorta, D.O.
• Ricardo Donato Villalba, LAC
• Gloria L Villalobos
• Villanueva Medical Group LLC
• Raul Villanueva, MD
• Suzette A Villard, RRT

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.