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INTENTIONAL PROVISIONS OUTREACH CORPORATION
NPI 1700663606
Clinic/Center - Developmental Disabilities in Homestead, FL

Active since September 13, 2023
1799 SW 8TH ST, HOMESTEAD, FL 33030(786) 239-3081 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Intentional Provisions Outreach Corporation NPPES

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

INTENTIONAL PROVISIONS OUTREACH CORPORATION (NPI 1700663606) is a healthcare organization registered as a developmental disabilities in Homestead, Florida and active in the NPI registry since September 2023. The organization lists Shandra P Mallary, Owner/direct Care, as its authorized official.

NPPES Registry Identity

NPI1700663606
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameINTENTIONAL PROVISIONS OUTREACH CORPORATION
Location Address1799 SW 8TH STHomestead, FL 33030-6621
Mailing Address1799 Sw 8th StHomestead, FL 33030-6621 · (786) 239-3081
Phone(786) 239-3081
Organization SubpartNo
Authorized OfficialShandra P MallaryOwner/direct Care · (786) 239-3081
Enumeration DateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1700663606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
1799 SW 8TH ST, Homestead, FL 33030
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANDRA PARTRELL MALLARY
Developmental Therapist
1799 SW 8TH ST
HOMESTEAD, FL 33030
Miami-Dade County (786) 239-3081

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 Intentional Provisions Outreach Corporation's NPI number?

The NPI number for Intentional Provisions Outreach Corporation is 1700663606. It was assigned to this organization in the NPPES registry on September 13, 2023.

Where is Intentional Provisions Outreach Corporation located?

Intentional Provisions Outreach Corporation is located at 1799 SW 8th St, Homestead, FL 33030. The listed phone number is (786) 239-3081.

What is Intentional Provisions Outreach Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Intentional Provisions Outreach Corporation was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.