OrganizationActive
Jesus Group Home LLC.
NPI 1730560434 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Miami, FL
Provider details
- NPI number
- 1730560434
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Zuly Martinez, Ceo(786) 266-6852
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
15504 Sw 104th Ave
Miami, FL 33157-1458
Phone: (786) 592-2281
Street-level locationGet directions
Mailing address
15504 Sw 104th Ave
Miami, FL 33157-1458
Registry dates
- Enumerated
- 2015-06-18
- Last updated
- 2015-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.