NPIMap

Organization Active NPI

Miami Cerebral Palsy Residential Services, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Miami, FL
National Provider Identifier
1689711434
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
4063096 Issued in FL
Legal business name
MIAMI CEREBRAL PALSY RESIDENTIAL SERVICES, INC
Practice address
7100 SW 122ND Ave
Miami, FL 33183-2608
Phone
(305) 275-1340
Fax
(305) 273-7973
NPI assigned
Jan 31, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sue Gallagher, EDD
Title
Associate Director
Phone
(305) 599-0899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 4063096 FL Primary

Addresses

Primary practice location

7100 SW 122ND Ave
Miami, FL 33183-2608

Mailing address

7100 SW 122ND Ave
Miami, FL 33183-2608
Phone (305) 275-1340

Other names 1

  • Sunset Facility Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689711434. Details of each certification follow.

  • CCN 10G077 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 10G077

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MIAMI CEREBRAL PALSY RESIDENTIAL SERVICES INC
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Mar 11, 1985
Last certification
Jun 26, 2025
Beds
24
Ownership / control type
Private (non-profit)
Facility address
7100 SW 122ND Ave
Miami, FL 33183

National Provider Directory

National Provider Directory
Tax ID family
80TH Street Facility4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7100 SW 122nd Ave
Miami, FL 33183
Phone (305) 275-1340

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689711434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 SW 122ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832608",
            "telephone_number": "305-275-1340",
            "fax_number": "305-273-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 SW 122ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832608",
            "telephone_number": "305-275-1340",
            "fax_number": "305-273-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI CEREBRAL PALSY RESIDENTIAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "305-599-0899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "FL",
            "license": "4063096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset Facility",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.