Organization Active NPI

Embrace Group Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Gainesville, FL
National Provider Identifier
1689972747
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
EMBRACE GROUP HOME
Practice address
1029 NE 22ND Ave
Gainesville, FL 32609-3878
Phone
(352) 336-8198
NPI assigned
Mar 14, 2011
Last updated
Mar 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Ms. Amanda Vinson
Title
Owner
Phone
(352) 215-9401

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X FL
Nursing Care Agency 251J00000X FL
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X FL Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X FL

Addresses

Primary practice location

1029 NE 22ND Ave
Gainesville, FL 32609-3878

Mailing address

1029 NE 22ND Ave
Gainesville, FL 32609-3878
Phone (352) 336-8198

Other identifiers 1

IdentifierTypeStateIssuer
681031496MedicaidFL

National Provider Directory

National Provider Directory

Locations

1029 NE 22nd Ave
Gainesville, FL 32609
Phone (352) 336-8198

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1689972747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 NE 22ND AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093878",
            "telephone_number": "352-336-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 NE 22ND AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093878",
            "telephone_number": "352-336-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-215-9401",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "681031496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.