Active NPI
Riverside Group Home, Inc.
- Developmental Disabilities Clinic/Center
- Miami Gardens, FL
National Provider Identifier
1891323754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- Miami Gardens, FL
- NPI 1205283934
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.