Martin'S Group Home, Inc

Primary specialty

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

Legal business name

MARTIN'S GROUP HOME, INC

Practice address

12550 SW 219TH St
Miami, FL 33170-2733

Phone

(305) 257-4108

Fax

(305) 257-4177

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

Althea Martin, DIRECTOR

Title

Director

Phone

(786) 302-7389

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1659023232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 SW 219TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331702733",
            "telephone_number": "305-257-4108",
            "fax_number": "305-257-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 SW 219TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331702733",
            "telephone_number": "305-257-4108",
            "fax_number": "305-257-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN'S GROUP HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ALTHEA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-302-7389",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688682596",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yannelys Martin, DMD
• Yelennys Martin
• Yenima Martin
• Yuvonne Martin
• Yvonne Michelle Martin, APRN
• Katherine Martineau, M.D.
• Martinez & Hernandez MD PA
• Leydys Barbara Martinez Aballe
• Aliery Martinez Abela
• Mariela Martinez Abeledo

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Miami, FL
• Providers in Miami, 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.