Organization Active NPI

Riverside Group Home, Inc.

  • Developmental Disabilities Clinic/Center
  • Miami Gardens, FL
National Provider Identifier
1891323754
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
RIVERSIDE GROUP HOME, INC.
Practice address
20501 NW 33Rd CT
Miami Gardens, FL 33056-1345
Phone
(305) 988-2346
NPI assigned
Mar 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Mrs. Belkis Alvarez Ruiz
Title
President
Phone
(786) 488-1419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

20501 NW 33Rd CT
Miami Gardens, FL 33056-1345

Mailing address

20501 NW 33Rd CT
Miami Gardens, FL 33056-1345
Phone (305) 988-2346

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1891323754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20501 NW 33RD CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330561345",
            "telephone_number": "305-988-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20501 NW 33RD CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330561345",
            "telephone_number": "305-988-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE GROUP HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ RUIZ",
        "authorized_official_first_name": "BELKIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-488-1419",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.