Mira Group Home

LBN: Mira Group Home
Mira Group Home is an health care organization with primary practice located at 1501 Crest Ct , Valrico FL 33594-5107. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Mira Group Home can be contacted via phone (813) 654-6579, or through Mira, Patricia Louise via phone (813) 654-6579.

Contact Information

Primary practice address
1501 Crest Ct Valrico FL 33594-5107
Phone: (813) 654-6579
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mira, Patricia Louise
Phone: (813) 654-6579

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 595798 Florida

Profile Details

NPI number 1609322866
LBN Legal business name Mira Group Home
DBA Doing business as
Authorized official Mira, Patricia Louise
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2016
Last updated Aug 28th, 2016 - about 9 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.

Request for update

Popular Providers