MARTIN LEDERLY CARE LIVING NPI 1447403654

NPI Information

NPI: 1447403654
Provider Name: MARTIN LEDERLY CARE LIVING

Doing Business As: SAME

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
901 NW 63RD ST
MIAMI, FL
ZIP 33150
Phone: (305) 762-4242
Get Directions

MARTIN LEDERLY CARE LIVING is a community based residential treatment facility mental illness in Miami, FL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MARTIN LEDERLY CARE LIVING NPI is 1447403654. The provider is registered as an organization entity type.
The provider Is Doing Business As Same.

The provider's business location address is:

901 NW 63RD ST
MIAMI, FL
ZIP 33150-220
Phone: (305) 762-4242
Fax: (305) 762-4242

The provider's authorized official is Louise Leger Elise .
The authorized official title is Alf Administrator and has the following contact phone number (305) 762-4242.

The enumeration date for this NPI number is 10/31/2008 and was last updated on 10/31/2008.

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 Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		AL10144	FLORIDA	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness		AL10144	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1411714200	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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