OPEN TIME SUPPORT
NPI 1376803908
Community/Behavioral Health in Miami, FL

Active since May 16, 2012
15075 SW 63RD TER, MIAMI, FL 33193(786) 317-2004(305) 388-1570 Get Directions Write a Review

NPPES record last updated: May 16, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About OPEN TIME SUPPORT

This page provides the complete NPI Profile along with additional information for Open Time Support, a provider established in Miami, Florida operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1376803908 assigned on May 2012. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Hector Paulino Gonzalez Bcaba (President)

NPI
1376803908 Verify this NPI
Provider Name
OPEN TIME SUPPORT
Entity Type
Organization
Location Address
15075 SW 63RD TER MIAMI, FL 33193
Location Phone
(786) 317-2004
Location Fax
(305) 388-1570
Mailing Address
15075 SW 63RD TER MIAMI, FL 33193
Mailing Phone
(786) 317-2004
Mailing Fax
(305) 388-1570
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-16-2012
Last Update Date
05-16-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

(FL)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. HECTOR PAULINO GONZALEZ BCABA

Authorized Official Title
PRESIDENT
Authorized Official Phone
(786) 317-2004

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376803908, enumerated as an "organization" on May 16, 2012.

The provider is located at 15075 SW 63RD TER MIAMI, FL 33193 and the phone number is (786) 317-2004.

Community/Behavioral Health with taxonomy code 251S00000X.