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BLUE LAGOON GROUP HOME INC
NPI 1700208378
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Miami Gardens, FL

Active since January 15, 2014
21100 NW 28TH CT, MIAMI GARDENS, FL 33056(786) 657-7205 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Lagoon Group Home Inc NPPES

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

BLUE LAGOON GROUP HOME INC (NPI 1700208378) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Miami Gardens, Florida and active in the NPI registry since January 2014. The organization lists Eugenia Santana, Administrator, as its authorized official.

NPPES Registry Identity

NPI1700208378
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBLUE LAGOON GROUP HOME INC
Location Address21100 NW 28TH CTMiami Gardens, FL 33056-1105
Mailing Address21100 Nw 28th CtMiami Gardens, FL 33056-1105 · (786) 657-7205
Phone(786) 657-7205
Organization SubpartNo
Authorized OfficialEugenia SantanaAdministrator · (786) 657-7205
Enumeration DateJanuary 15, 2014
Last NPPES UpdateJune 20, 2018
✔ NPI 1700208378 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
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
21100 NW 28TH CT, Miami Gardens, FL 33056
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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 Blue Lagoon Group Home Inc's NPI number?

The NPI number for Blue Lagoon Group Home Inc is 1700208378. It was assigned to this organization in the NPPES registry on January 15, 2014.

Where is Blue Lagoon Group Home Inc located?

Blue Lagoon Group Home Inc is located at 21100 NW 28th Ct, Miami Gardens, FL 33056. The listed phone number is (786) 657-7205.

What is Blue Lagoon Group Home Inc'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 Blue Lagoon Group Home Inc was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.