Jast Home LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

JAST HOME LLC

Practice address

6071 NW 198TH Ter
Hialeah, FL 33015-4857

Phone

(954) 274-5934

NPI assigned

Jul 9, 2019

Last updated

Jul 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rose Charlene Lobban, EDSNPI 1720576622

Title

Administrator

Phone

(954) 274-5934

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rose Charlene Lobban

  • Developmental Disabilities Clinic/Center
  • Hialeah, FL
  • NPI 1720576622
  NPD Authorized official

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1992357123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 NW 125TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282552",
            "telephone_number": "954-274-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 NW 198TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154857",
            "telephone_number": "954-274-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAST HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "LOBBAN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "CHARLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-274-5934",
        "authorized_official_credential": "EDS"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.