A Guardian Group Home

Primary specialty

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

License

11-658-GH Issued in FL

Legal business name

A GUARDIAN GROUP HOME

Practice address

9715 SW 73Rd St
Miami, FL 33173-4625

Phone

(305) 255-3731

Fax

(305) 234-2039

NPI assigned

Mar 1, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Venus Perez

Title

Owner

Phone

(786) 499-5580

Specialties & licenses 1

Addresses

Other names 1

• agghinc Other name

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1760780753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 SW 73RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734625",
            "telephone_number": "305-255-3731",
            "fax_number": "305-234-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 SW 73RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734625",
            "telephone_number": "305-255-3731",
            "fax_number": "305-234-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A GUARDIAN GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "VENUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-499-5580",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "11-658-GH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "agghinc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Miami, FL
• Providers in Miami, 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 Mar 1, 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.