Organization Active NPI

Ambars Group Home Corp

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hialeah, FL
National Provider Identifier
1790957736
Registry record updated Mar 31, 2008
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
AMBARS GROUP HOME CORP
Practice address
6071 NW 198TH Ter
Hialeah, FL 33015-4857
Phone
(305) 558-9866
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Maribel Galvan, CARE GIVER
Title
President
Phone
(305) 558-3266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

6071 NW 198TH Ter
Hialeah, FL 33015-4857

Mailing address

6071 NW 198TH Ter
Hialeah, FL 33015-4857
Phone (305) 558-9866

Other identifiers 1

IdentifierTypeStateIssuer
693183996MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Ambars Group Home Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1790957736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 NW 198TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154857",
            "telephone_number": "305-558-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 NW 198TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154857",
            "telephone_number": "305-558-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBARS GROUP HOME CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-558-3266",
        "authorized_official_credential": "CARE GIVER"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693183996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.