OrganizationActive
Able Group Home LLC
NPI 1336818350 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Miramar, FL
Provider details
- NPI number
- 1336818350
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Rene Gomez, Manager(954) 279-6363
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
18567 Sw 46th St
Miramar, FL 33029-6231
Phone: (954) 279-6363
Approximate (ZIP-level) locationGet directions
Mailing address
18567 Sw 46th St
Miramar, FL 33029-6231
Registry dates
- Enumerated
- 2021-09-13
- Last updated
- 2021-09-13
- Certified
- 2021-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.