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PASSAGEWAY RESIDENCE OF DADE COUNTY INC NPI 1922163856


NPI Information

NPI: 1922163856
Provider Name: PASSAGEWAY RESIDENCE OF DADE COUNTY, INC

Former Legal Business Name: PASSAGEWAY

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2255 NW 10TH AVE
MIAMI, FL
ZIP 33127
Phone: (305) 635-9106
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PASSAGEWAY RESIDENCE OF DADE COUNTY, INC 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. PASSAGEWAY RESIDENCE OF DADE COUNTY, INC NPI is 1922163856. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Passageway.

The provider's business location address is:

2255 NW 10TH AVE
MIAMI, FL
ZIP 33127-219
Phone: (305) 635-9106
Fax: (305) 635-4687

The provider's authorized official is Lillian Menendez .
The authorized official title is Executive Director and has the following contact phone number (305) 635-9106.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 11/30/2011.


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
1320800000XCommunity Based Residential Treatment Facility, Mental Illness8332FLORIDAYes

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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