Blue Lagoon Group Home Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

BLUE LAGOON GROUP HOME INC

Practice address

21100 NW 28TH CT
Miami Gardens, FL 33056-1105

Phone

(786) 657-7205

NPI assigned

Jan 15, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Eugenia Santana

Title

Administrator

Phone

(786) 657-7205

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1700208378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21100 NW 28TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330561105",
            "telephone_number": "786-657-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21100 NW 28TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330561105",
            "telephone_number": "786-657-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE LAGOON GROUP HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "EUGENIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-657-7205",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom Integrated Care Inc
• Bloom Mobility, Inc
• Bloom Verify Inc
• Blue Butterfly Billing Coding Solutions LLC
• Blue Core Solutions LLC
• Gregory Boisrond
• Bon Ami Group Housing Inc
• Katherine Bonet Cejas
• Marie C Bonne-Annee
• Paola C Bonnin Szendrey

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.