Organization Active NPI

Everlasting Achievements Health Group Corp

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1841071529
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EVERLASTING ACHIEVEMENTS HEALTH GROUP CORP
Practice address
12985 SW 130TH CT Ste 108-3
Miami, FL 33186-5312
Phone
(786) 224-1234
Fax
(305) 438-6593
NPI assigned
Oct 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Madelin Fernandez MartellNPI 1093355380
Title
Ceo
Phone
(786) 370-5137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

12985 SW 130TH CT Ste 108-3
Miami, FL 33186-5312

Mailing address

12985 SW 130TH CT Ste 108-3
Miami, FL 33186-5312
Phone (786) 224-1234

National Provider Directory

National Provider Directory

Locations

12985 SW 130th Ct
Ste 1083
Miami, FL 33186
Phone (786) 224-1234

Practitioners & affiliated clinicians

Practitioners 1

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": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1841071529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12985 SW 130TH CT STE 108-3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865312",
            "telephone_number": "786-224-1234",
            "fax_number": "305-438-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12985 SW 130TH CT STE 108-3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865312",
            "telephone_number": "786-224-1234",
            "fax_number": "305-438-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLASTING ACHIEVEMENTS HEALTH GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ MARTELL",
        "authorized_official_first_name": "MADELIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-370-5137"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "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 Oct 18, 2024; 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.