Martin'S Group Home, Inc

LBN: Martin'S Group Home, Inc
Martin'S Group Home, Inc is an health care organization with primary practice located at 12550 Sw 219Th St , Miami FL 33170-2733. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Martin'S Group Home, Inc can be contacted via phone (305) 257-4108, or through Martin, Althea via phone (786) 302-7389.

Contact Information

Primary practice address
12550 Sw 219Th St Miami FL 33170-2733
Phone: (305) 257-4108
Fax: (305) 257-4177
Website:
Map and Directions
Authorized official contact:
Name: Martin, Althea DIRECTOR
Phone: (786) 302-7389

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1659023232
LBN Legal business name Martin'S Group Home, Inc
DBA Doing business as
Authorized official Martin, Althea DIRECTOR
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2022
Last updated Jan 25th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659023232 NPPES
Florida MEDICAID 688682596

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