BLUE LAGOON GROUP HOME INC – NPI #1700208378
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

BLUE LAGOON GROUP HOME INC is a community based residential treatment facility located in MIAMI GARDENS, FL. NPPES has assigned the NPI number 1700208378 to BLUE LAGOON GROUP HOME INC on January 15, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 8 years ago on Jun 20, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE LAGOON GROUP HOME INC below.

NPI Profile for
BLUE LAGOON GROUP HOME INC

NPI Number
1700208378
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE LAGOON GROUP HOME INC
Primary location
21100 NW 28TH CT
MIAMI GARDENS, FL 33056-1105
Phone: (786) 657-7205 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EUGENIA SANTANA
ADMINISTRATOR
Phone: (786) 657-7205
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 FL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.