Organization Active NPI

Luna Group Home Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Miami, FL
National Provider Identifier
1770463671
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
LUNA GROUP HOME INC.
Practice address
13888 SW 18TH Ter
Miami, FL 33175-7519
Phone
(645) 222-1574
NPI assigned
Sep 3, 2025
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Odalis Garcia
Title
Owner
Phone
(645) 222-1574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

13888 SW 18TH Ter
Miami, FL 33175-7519

Mailing address

13888 SW 18TH Ter
Miami, FL 33175-7519
Phone (645) 222-1574

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1770463671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13888 SW 18TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757519",
            "telephone_number": "645-222-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13888 SW 18TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757519",
            "telephone_number": "645-222-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA GROUP HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ODALIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "645-222-1574"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "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 Sep 3, 2025; 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.