Organization Active NPI

Forever Young Community Services LLC

  • Case Management Agency
  • Miami, FL
National Provider Identifier
1891579140
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
FOREVER YOUNG COMMUNITY SERVICES LLC
Practice address
10300 SW 72ND St Ste 466
Miami, FL 33173-3028
Phone
(786) 384-2125
NPI assigned
Aug 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Ydaris Rivera Alvarez
Title
Owner
Phone
(786) 384-2125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

10300 SW 72ND St Ste 466
Miami, FL 33173-3028

Mailing address

10300 SW 72ND St Ste 466
Miami, FL 33173-3028
Phone (786) 384-2125

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1891579140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 466",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733028",
            "telephone_number": "786-384-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 466",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733028",
            "telephone_number": "786-384-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER YOUNG COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "RIVERA ALVAREZ",
        "authorized_official_first_name": "YDARIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-384-2125"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.