Organization Active NPI

Aj Group Home Inc

  • Developmentally Disabled Services Day Training Agency
  • Cape Coral, FL
National Provider Identifier
1689204646
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
AJ GROUP HOME INC
Practice address
1102 NE 2ND PL
Cape Coral, FL 33909-1215
Phone
(239) 222-7391
NPI assigned
Jan 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Dulce Aguilera
Title
Owner/President
Phone
(239) 222-7391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1102 NE 2ND PL
Cape Coral, FL 33909-1215

Mailing address

1102 NE 2ND PL
Cape Coral, FL 33909-1215
Phone (239) 222-7391

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1689204646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 NE 2ND PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091215",
            "telephone_number": "239-222-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 NE 2ND PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091215",
            "telephone_number": "239-222-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJ GROUP HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "AGUILERA",
        "authorized_official_first_name": "DULCE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "239-222-7391"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.