Martinez Group Home, Llc

LBN: Martinez Group Home, Llc
Martinez Group Home, Llc is an health care organization with primary practice located at 14918 Sw 15 Ln , Miami FL 33194. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, which is considered as the primary health care specialty. Martinez Group Home, Llc can be contacted via phone (305) 450-7645, or through Martinez, Nelson M via phone (305) 450-7645.

Contact Information

Primary practice address
14918 Sw 15 Ln Miami FL 33194
Phone: (305) 450-7645
Fax: (786) 360-5343
Website:
Map and Directions
Authorized official contact:
Name: Martinez, Nelson M
Phone: (305) 450-7645

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X L11-1108-GH Florida

Profile Details

NPI number 1700300092
LBN Legal business name Martinez Group Home, Llc
DBA Doing business as
Authorized official Martinez, Nelson M
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2017
Last updated Jul 28th, 2017 - about 7 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 1700300092 NPPES
Florida Other 010236500 MEDICAID WAIVER PROVIDE

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