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COMMUNITY HABILITATION CENTER NPI 1013475037


NPI Information

NPI: 1013475037
Provider Name: COMMUNITY HABILITATION CENTER

Doing Business As: THE WOW CENTER

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
11450 SW 79TH ST
MIAMI, FL
ZIP 33173
Phone: (305) 279-7999
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COMMUNITY HABILITATION CENTER is a day training developmentally disabled services in Miami, FL. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. COMMUNITY HABILITATION CENTER NPI is 1013475037. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Wow Center.

The provider's business location address is:

11450 SW 79TH ST
MIAMI, FL
ZIP 33173-640
Phone: (305) 279-7999

The provider's authorized official is Natalia Wong .
The authorized official title is Executive Director and has the following contact phone number (305) 279-7999.

The enumeration date for this NPI number is 3/8/2019 and was last updated on 7/7/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225X00000XOccupational TherapistNo
2235Z00000XSpeech-Language PathologistNo
3251C00000XDay Training, Developmentally Disabled ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102498596OTHERFLORIDAMEDICAID WAIVER/I BUDGET FL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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