The Shine Age a & L Mental Health LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

THE SHINE AGE A & L MENTAL HEALTH LLC

Practice address

175 Fontainebleau Blvd Ste 1N6
Miami, FL 33172-4511

Phone

(863) 277-2957

NPI assigned

Dec 30, 2020

Last updated

Dec 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alejo CarmenatesNPI 1700382652

Title

President

Phone

(786) 327-2957

Specialties & licenses 1

Addresses

Locations

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.

• Alejo Angel Carmenates

  • Behavior Technician
  • Miami, FL
  • NPI 1700382652
  NPD Authorized official

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1841887320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 1N6",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724511",
            "telephone_number": "863-277-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 1N6",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724511",
            "telephone_number": "863-277-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHINE AGE A & L MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "CARMENATES",
        "authorized_official_first_name": "ALEJO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-327-2957"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Roads Home Health Care, Inc.
• The Sails Institute
• The Shaping Academy for Behavioral Development
• The Smile Mission North Miami PLLC
• The Smile Mission, PLLC
• The Speech Spot LLC
• The Speech Studio LLC
• The Speech, Language and Dysphagia Center

• Case Management Agency in Miami, FL
• Providers in Miami, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.