A1 Coordinated Supports, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

A1 COORDINATED SUPPORTS, INC

Practice address

11177 SW 8TH St Apt 307
Pembroke Pines, FL 33025-6987

Phone

(786) 359-9358

NPI assigned

Jul 12, 2022

Last updated

Jul 12, 2022By 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

Aleyda Patricia BlancoNPI 1942801964

Title

Supervisor

Phone

(786) 359-9358

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.

• Aleyda P Blanco

  • Developmental Disabilities Clinic/Center
  • Pembroke Pines, FL
  • NPI 1942801964
  NPD Authorized official

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1992439392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11177 SW 8TH ST APT 307",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330256987",
            "telephone_number": "786-359-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11177 SW 8TH ST APT 307",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330256987",
            "telephone_number": "786-359-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 COORDINATED SUPPORTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "ALEYDA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "786-359-9358"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Pembroke Pines, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.