First Impressions Community Developement Corp.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FIRST IMPRESSIONS COMMUNITY DEVELOPEMENT CORP.

Practice address

13366 SW 288TH St
Homestead, FL 33033-1927

Phone

(561) 572-6250

Fax

(305) 248-4284

NPI assigned

Apr 24, 2013

Organization subpart

No

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

Authorized official

Name

Shataria Bridges Moss

Title

President

Phone

(561) 572-6250

Specialties & licenses 2

Addresses

Tax ID family

First Impressions Community Developement Corp2 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.

• First Impressions Cummunity Development Corp.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Miami Gardens, FL
  • NPI 1417330960
  NPD tax ID

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1932543634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20101 NW 34TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330561768",
            "telephone_number": "561-572-6250",
            "fax_number": "305-248-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13366 SW 288TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330331927",
            "telephone_number": "561-572-6250",
            "fax_number": "305-248-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST IMPRESSIONS COMMUNITY DEVELOPEMENT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "SHATARIA",
        "authorized_official_middle_name": "BRIDGES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-572-6250"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Livia Joplin Fisch
• James Fish, DO
• Gregg D Fiske, PHYSICAL THERAPIST
• Melisa B Fleitas Acosta
• Yanseidys Fleitas

• Case Management Agency in Homestead, FL
• Providers in Homestead, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.