OrganizationActive
Spirit Residential Group Home
NPI 1144759531 · Developmental Disabilities Clinic/Center · Miami Gardens, FL
Provider details
- NPI number
- 1144759531
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lola Bain, President(305) 623-4618
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17311 N.w 33 Ct
Miami Gardens, FL 33056
Phone: (305) 623-4618
Street-level locationGet directions
Mailing address
17311 Nw 33rd Ct
Miami Gardens, FL 33056-4218
Other names (DBA / former)
- Doing business as
- Spirit Residential Group Home
- Doing business as
- Spirit Residential Group Home
Registry dates
- Enumerated
- 2017-06-08
- Last updated
- 2017-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.