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MIAMI CEREBRAL PALSY RESIDENTIAL SERVICES INC. NPI 1821134941


NPI Information

NPI: 1821134941
Provider Name: MIAMI CEREBRAL PALSY RESIDENTIAL SERVICES, INC.

Other Name: 80TH STREET FACILITY

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 10D0889469

Address:
11750 SW 80TH ST
MIAMI, FL
ZIP 33183
Phone: (305) 274-5014
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MIAMI CEREBRAL PALSY RESIDENTIAL SERVICES, INC. is an intermediate care facility mentally retarded in Miami, FL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MIAMI CEREBRAL PALSY RESIDENTIAL SERVICES, INC. NPI is 1821134941. The provider is registered as an organization entity type.
The provider Other Name Is 80th Street Facility.

The provider's business location address is:

11750 SW 80TH ST
MIAMI, FL
ZIP 33183-819
Phone: (305) 274-5014
Fax: (305) 274-7056

The provider's authorized official is Marta E. Morin .
The authorized official title is Executive Director and has the following contact phone number (305) 599-0899.

The CLIA number assigned to this NPI record is 10D0889469 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 8/22/2020.


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
1315P00000XIntermediate Care Facility, Intellectual Disabilities4052096FLORIDAYes

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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