NPIMap

Organization Active NPI

His House, Inc.

  • Case Management Agency
  • Opa Locka, FL
National Provider Identifier
1912102005
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
HIS HOUSE, INC.
Practice address
20000 NW 47TH Ave
Hector Building No. 2
Opa Locka, FL 33055-1543
Phone
(305) 430-0085
Fax
(305) 430-8533
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Mrs. Jean Caceres-Gonzalez
Title
Executive Director and President
Phone
(305) 430-0085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X FL Primary

Addresses

Primary practice location

20000 NW 47TH Ave
Hector Building No. 2
Opa Locka, FL 33055-1543

Mailing address

20000 NW 47TH Ave
Hector Building No. 2
Opa Locka, FL 33055-1543
Phone (305) 430-0085

Other names 1

  • His House Children's Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
His House Children'S Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1912102005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20000 NW 47TH AVE",
            "address_2": "HECTOR BUILDING NO. 2",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330551543",
            "telephone_number": "305-430-0085",
            "fax_number": "305-430-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20000 NW 47TH AVE",
            "address_2": "HECTOR BUILDING NO. 2",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330551543",
            "telephone_number": "305-430-0085",
            "fax_number": "305-430-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "CACERES-GONZALEZ",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR AND PRESIDENT",
        "authorized_official_telephone_number": "305-430-0085",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "His House Children's Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Opa Locka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.