Organization Active NPI

Familia Group Home Inc

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1700402880
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAMILIA GROUP HOME INC
Practice address
17883 SW 155TH CT
Miami, FL 33187-1712
Phone
(954) 549-3569
NPI assigned
Jun 24, 2020
Last updated
Jun 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Octavius Smith
Title
Owner
Phone
(954) 549-3569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17883 SW 155TH CT
Miami, FL 33187-1712

Mailing address

17883 SW 155TH CT
Miami, FL 33187-1712
Phone (954) 549-3569

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1700402880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17883 SW 155TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331871712",
            "telephone_number": "954-549-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17883 SW 155TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331871712",
            "telephone_number": "954-549-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILIA GROUP HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "OCTAVIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-549-3569"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.