Reyna Group Home Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

REYNA GROUP HOME INC

Practice address

6960 Raleigh St
Hollywood, FL 33024-2840

Phone

(954) 599-7905

Fax

(754) 210-7583

NPI assigned

Jul 24, 2023

Organization subpart

No

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

Authorized official

Name

Richard Charlemon

Title

Ceo

Phone

(954) 599-7905

Specialties & licenses 1

Addresses

Other names 1

• REYNA GROUP HOME INC Other name

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1942980099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 NW 33RD AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096302",
            "telephone_number": "954-599-7905",
            "fax_number": "754-210-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 RALEIGH ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242840",
            "telephone_number": "954-599-7905",
            "fax_number": "754-210-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNA GROUP HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "CHARLEMON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-599-7905"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REYNA GROUP HOME INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jaime Lynne Reyes, APRN, FNP-C
• Madeleine Mariela Reyes, ARNP
• Raul Reyes
• Rene A Reyes, M.D.
• Yohanne Reyes
• Barbara Reyna
• Diane Elizabeth Reynolds, L.M.T.
• Yeganeh Rezaie, D.M.D
• Rezilir Health, LLC
• RH Keller, M.D., Dba Biodoron

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

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