Homestead Behavioral Clinic, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

HOMESTEAD BEHAVIORAL CLINIC, INC.

Practice address

654 NE 9TH PL
Homestead, FL 33030-4934

Phone

(305) 248-3488

Fax

(305) 248-6558

NPI assigned

Jun 29, 2021

Organization subpart

Yes

Parent organization

HOMESTEAD BEHAVIORAL CLINIC, INC.As reported in NPPES

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

Authorized official

Name

Aidelyn Lopez

Title

President

Phone

(305) 248-3488

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Homestead Behavioral Clinic Inc2 organizations share this tax ID, including this one

Part of

Homestead Behavioral Clinic Inc

Other organizations with this tax ID 1

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

• Homestead Behavioral Clinic, Inc.

  • Behavior Analyst
  • Orlando, FL
  • NPI 1164223335
  NPD tax ID

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1881264091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 NE 9TH PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304934",
            "telephone_number": "305-248-3488",
            "fax_number": "305-248-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 NE 9TH PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304934",
            "telephone_number": "305-248-3488",
            "fax_number": "305-248-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD BEHAVIORAL CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOMESTEAD BEHAVIORAL CLINIC, INC.",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "AIDELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-248-3488"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260257100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Homestead Artificial Kidney Center, Inc.
• Homestead Behavior Health Inc
• Homestead Behavior Health Plus LLC
• Homestead Behavior Health Plus LLC
• Homestead Behavioral Clinic, Inc.
• Homestead Cancer Institute LLC
• Homestead Cardiac and Vein Center, Inc.
• Homestead Cares Foundation
• Homestead Chiropractic Clinic Inc
• Homestead Community Health Center, Inc.

• General Practice Physician in Homestead, FL
• Providers in Homestead, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.