GLADYS B HOUSE, LLC – NPI #1891221065
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.

GLADYS B HOUSE, LLC is a community based residential treatment facility located in HOMESTEAD, FL. NPPES has assigned the NPI number 1891221065 to GLADYS B HOUSE, LLC on May 10, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 9 years ago on May 11, 2017. 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 GLADYS B HOUSE, LLC below.

NPI Profile for
GLADYS B HOUSE, LLC

NPI Number
1891221065
Enumeration Date

(more than 9 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
GLADYS B HOUSE, LLC
Doing Business As (dba): GLADYS B HOUSE, LLC
Primary location
12875 SW 280TH ST
HOMESTEAD, FL 33032
Phone: (813) 528-6979 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SUSAN MCLEAN
EXECUTIVE DIRECTOR
Phone: (813) 528-6979
Updated
Identifiers

Identifiers for GLADYS B HOUSE, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL1891221065
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.

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.