FIRST IMPRESSIONS CUMMUNITY DEVELOPMENT CORP. NPI 1417330960

NPI Information

NPI: 1417330960
Provider Name: FIRST IMPRESSIONS CUMMUNITY DEVELOPMENT CORP.
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
20101 NW 34TH CT
MIAMI GARDENS, FL
ZIP 33056
Phone: (305) 525-7946
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FIRST IMPRESSIONS CUMMUNITY DEVELOPMENT CORP. is a residential treatment facility emotionally disturbed children in Miami Gardens, FL. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. FIRST IMPRESSIONS CUMMUNITY DEVELOPMENT CORP. NPI is 1417330960. The provider is registered as an organization entity type.

The provider's business location address is:

20101 NW 34TH CT
MIAMI GARDENS, FL
ZIP 33056-768
Phone: (305) 525-7946
Fax: (305) 620-1614

The provider's authorized official is Shataria Bridges-moss .
The authorized official title is Owner and has the following contact phone number (305) 525-7946.

The enumeration date for this NPI number is 7/1/2015 and was last updated on 7/1/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	FLORIDA	No
2	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		FLORIDA	No
3	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		FLORIDA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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