Saint Michaels Group Home Inc.

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

SAINT MICHAELS GROUP HOME INC.

Practice address

8881 NW 185TH St
Hialeah, FL 33018-6564

Phone

(305) 490-7101

NPI assigned

Sep 12, 2023

Organization subpart

No

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

Authorized official

Name

Mariella Torres Mendez, MS. CCC-SLP

Title

President

Phone

(305) 490-7101

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1780461756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 NW 185TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330186564",
            "telephone_number": "305-490-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 NW 185TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330186564",
            "telephone_number": "305-490-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MICHAELS GROUP HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "MARIELLA",
        "authorized_official_middle_name": "TORRES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-490-7101",
        "authorized_official_credential": "MS. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.