Organization Active NPI

Key Behavior Essentials, LLC

  • Case Management Agency
  • Miami Gardens, FL
National Provider Identifier
1770024473
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
KEY BEHAVIOR ESSENTIALS, LLC
Practice address
18425 NW 2ND Ave Ste 402
Miami Gardens, FL 33169-4525
Phone
(786) 916-3706
Fax
(786) 916-3708
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Ms. Ivy Andueza, B.S
Title
Case Management Supervisor
Phone
(305) 414-4252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

18425 NW 2ND Ave Ste 402
Miami Gardens, FL 33169-4525

Mailing address

18425 NW 2ND Ave Ste 402
Miami Gardens, FL 33169-4525
Phone (786) 916-3706

Other identifiers 1

IdentifierTypeStateIssuer
1063832392MedicaidFL

Other names 1

  • Guided Steps Healthcare Other name

National Provider Directory

National Provider Directory
Tax ID family
Guided Steps Healthcare9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18425 NW 2nd Ave
Ste 402
Miami Gardens, FL 33169
Phone (786) 916-3706

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1770024473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 NW 2ND AVE STE 402",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694525",
            "telephone_number": "786-916-3706",
            "fax_number": "786-916-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 NW 2ND AVE STE 402",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694525",
            "telephone_number": "786-916-3706",
            "fax_number": "786-916-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY BEHAVIOR ESSENTIALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "ANDUEZA",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "CASE MANAGEMENT SUPERVISOR",
        "authorized_official_telephone_number": "305-414-4252",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063832392",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guided Steps Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 14, 2017; 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.