Organization Active NPI

Suarez Group Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Miami Gardens, FL
National Provider Identifier
1750846218
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SUAREZ GROUP HOME
Practice address
17131 NW 57TH Ave
Miami Gardens, FL 33055-3923
Phone
(305) 620-4527
Fax
(305) 627-1975
NPI assigned
Feb 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Ruben SuarezNPI 1831654300
Title
President
Phone
(305) 345-7974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

17131 NW 57TH Ave
Miami Gardens, FL 33055-3923

Mailing address

17131 NW 57TH Ave
Miami Gardens, FL 33055-3923
Phone (305) 620-4527

Other practice location 1

4688 NW 164th St
Opa Locka, FL 33054-6010
Phone (305) 621-6042

Other practice location 2

15815 NW 47th Ave
Opa Locka, FL 33054-6074
Phone (305) 624-1710

Other practice location 3

1488 NW 101st St
Miami, FL 33147-1853
Phone (786) 542-5455

Other practice location 4

5433 NW 198th Ter
Miami Gardens, FL 33055-6171
Phone (305) 620-2080

Other identifiers 2

IdentifierTypeStateIssuer
687342196MedicaidFL
680712796MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1750846218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17131 NW 57TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553923",
            "telephone_number": "305-620-4527",
            "fax_number": "305-627-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17131 NW 57TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553923",
            "telephone_number": "305-620-4527",
            "fax_number": "305-627-1975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4688 NW 164th St",
            "address_purpose": "LOCATION",
            "city": "Opa Locka",
            "state": "FL",
            "postal_code": "330546010",
            "country_code": "US",
            "telephone_number": "305-621-6042",
            "fax_number": "305-621-6043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15815 NW 47th Ave",
            "address_purpose": "LOCATION",
            "city": "Opa Locka",
            "state": "FL",
            "postal_code": "330546074",
            "country_code": "US",
            "telephone_number": "305-624-1710",
            "fax_number": "305-623-2767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1488 NW 101st St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331471853",
            "country_code": "US",
            "telephone_number": "786-542-5455",
            "fax_number": "786-542-5577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5433 NW 198th Ter",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330556171",
            "country_code": "US",
            "telephone_number": "305-620-2080",
            "fax_number": "305-624-1232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUAREZ GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-345-7974"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687342196",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680712796",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

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