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MIRA GROUP HOME
NPI 1609322866
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Valrico, FL

Active since August 28, 2016
1501 CREST CT, VALRICO, FL 33594(813) 654-6579 Get Directions Write a Review

NPPES record last updated: August 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mira Group Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRA GROUP HOME (NPI 1609322866) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Valrico, Florida and active in the NPI registry since August 2016. The organization lists Patricia Louise Mira, Director, as its authorized official.

NPPES Registry Identity

NPI1609322866
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameMIRA GROUP HOME
Location Address1501 CREST CTValrico, FL 33594-5107
Mailing Address1501 Crest CtValrico, FL 33594-5107 · (813) 654-6579
Phone(813) 654-6579
Organization SubpartNo
Authorized OfficialPatricia Louise MiraDirector · (813) 654-6579
Enumeration DateAugust 28, 2016
✔ NPI 1609322866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in FL · 595798
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1501 CREST CT, Valrico, FL 33594
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mira Group Home's NPI number?

The NPI number for Mira Group Home is 1609322866. It was assigned to this organization in the NPPES registry on August 28, 2016.

Where is Mira Group Home located?

Mira Group Home is located at 1501 Crest Ct, Valrico, FL 33594. The listed phone number is (813) 654-6579.

What is Mira Group Home's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Mira Group Home was last updated on August 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.