MATANZAS GROUP HOME
NPI 1962167312
Clinic/Center - Developmental Disabilities in Sw Ranches, FL

Active since November 01, 2021
4801 SW 201ST TER, SW RANCHES, FL 33332(305) 333-2659 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 15, 2021, Nov 1, 2021 (2 updates tracked since 2021).

  • Organization
  • Clinic/Center
  • Developmental Disabilities

About MATANZAS GROUP HOME

This page provides the complete NPI Profile along with additional information for Matanzas Group Home, a provider established in Sw Ranches, Florida operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1962167312 assigned on November 2021. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Matanzas Group Home. The authorized official of this NPI record is Mr. Mario Cruz (Owner)

NPI
1962167312 Verify this NPI
Provider Legal Name
M & K GROUP HOME INC
Other Organization Name
MATANZAS GROUP HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4801 SW 201ST TER SW RANCHES, FL 33332
Location Phone
(305) 333-2659
Mailing Address
4801 SW 201ST TER SW RANCHES, FL 33332
Mailing Phone
(305) 333-2659
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-01-2021
Last Update Date
11-15-2021
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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

Clinic/Center Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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.).

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. MARIO CRUZ

Authorized Official Title
OWNER
Authorized Official Phone
(786) 223-7751

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962167312, enumerated as an "organization" on November 01, 2021.

The provider is located at 4801 SW 201ST TER SW RANCHES, FL 33332 and the phone number is (305) 333-2659.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.