Nieto'S Group Home, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

NIETO'S GROUP HOME, LLC

Practice address

1319 N 74TH Ter
Hollywood, FL 33024-5305

Phone

(305) 766-9956

NPI assigned

Oct 14, 2022

Organization subpart

No

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

Authorized official

Name

Lazaro Nieto

Title

Ceo

Phone

(305) 766-9956

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1740906403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 N 74TH TER",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330245305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 N 74TH TER",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330245305",
            "telephone_number": "305-766-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIETO'S GROUP HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "NIETO",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-766-9956"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nga Van Nguyen, M.D.
• Viet B Nguyen
• Nic 4 Emerald Park Retirement Leasing LLC
• Nicholas D a Suite MD Neurology LLC
• Gloria Yalile Nieto, DMD
• Paula Arlene Nievas, LMT
• Nigel a. Spier MD LLC
• Joanna Lynn Nightingale, APRN
• Nikken Wellness Center Inc
• Ninette&Daimis Corp

• Developmentally Disabled Services Day Training Agency in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.