NPIMap

Organization Active NPI

Miami Cerebral Palsy Residential Services, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Miami, FL
National Provider Identifier
1821134941
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
4052096 Issued in FL
Legal business name
MIAMI CEREBRAL PALSY RESIDENTIAL SERVICES, INC.
Practice address
11750 SW 80TH St
Miami, FL 33183-4819
Phone
(305) 274-5014
Fax
(305) 274-7056
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Marta E. Morin
Title
Executive Director
Phone
(305) 599-0899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 4052096 FL Primary

Addresses

Primary practice location

11750 SW 80TH St
Miami, FL 33183-4819

Mailing address

11750 SW 80TH St
Miami, FL 33183-4819
Phone (305) 274-5014

Other names 1

  • 80th Street Facility Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 10G072

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MIAMI CEREBRAL PALSY RESIDENTIAL SERVICES, INC
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Aug 1, 1984
Last certification
Aug 27, 2025
Beds
24
Ownership / control type
Private (non-profit)
Facility address
11750 SW 80TH Street
Miami, FL 33183

National Provider Directory

National Provider Directory
Tax ID family
80TH Street Facility4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

11750 SW 80th St
Miami, FL 33183
Phone (305) 274-5014

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821134941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 SW 80TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834819",
            "telephone_number": "305-274-5014",
            "fax_number": "305-274-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 SW 80TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834819",
            "telephone_number": "305-274-5014",
            "fax_number": "305-274-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI CEREBRAL PALSY RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-599-0899",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "FL",
            "license": "4052096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "80th Street Facility",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.