NPI

Amazing Group Home Inc

NPI 1023939485

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2026-07-22
Last updated
2026-07-22

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
12610 SW 30th St
City
Miami FL
Postal code
33175-2606
Phone
(786) 362-4767

Organization contact

Name
Gladys Jimenez
Title
Owner
Phone
(786) 362-4767

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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