Nativity Group Home. Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

151079 Issued in FL

Legal business name

NATIVITY GROUP HOME. INC.

Practice address

2106 S 26TH St
Fort Pierce, FL 34947-4792

Phone

(772) 468-7530

Fax

(772) 468-7530

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Marie Ninon Pierre, GROUP HOME

Title

Owner/Director

Phone

(772) 468-7530

Specialties & licenses 1

Addresses

Other names 1

• None Former legal business name

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881608875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 S 26TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474792",
            "telephone_number": "772-468-7530",
            "fax_number": "772-468-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 S 26TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474792",
            "telephone_number": "772-468-7530",
            "fax_number": "772-468-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVITY GROUP HOME. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "NINON",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "772-468-7530",
        "authorized_official_credential": "GROUP HOME"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "151079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.