Cerebral Palsy Adult Home, Inc.

Key facts

NPI

1861678393

Entity type

Organization (NPI type 2)

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X

License

10-1454GH (FL)

Legal business name

CEREBRAL PALSY ADULT HOME, INC.

Practice address

1405 NW 10TH St
Dania, FL 33004-2342

Phone

(954) 786-0344

Fax

(954) 785-6635

NPI assigned

Jan 15, 2008

Organization subpart

No

Authorized official

Name

Mrs. Marsha Faye Linville

Title

Executive Director

Phone

(954) 786-0344

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 15, 2008.

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1861678393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NE 3RD AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330605712",
            "telephone_number": "965-786-0344",
            "fax_number": "954-785-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 NW 10TH ST",
            "city": "DANIA",
            "state": "FL",
            "postal_code": "330042342",
            "telephone_number": "954-786-0344",
            "fax_number": "954-785-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREBRAL PALSY ADULT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "LINVILLE",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "954-786-0344",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "10-1454GH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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