THE KEY CLUBHOUSE OF SOUTH FLORIDA, INC. (NPI# 1104114339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104114339 |
| Entity Type | Organization |
| Organization Name | THE KEY CLUBHOUSE OF SOUTH FLORIDA, INC. |
| Practice Address |
260 Ne 17th Ter Suite 202 Miami FL 33132-1194 |
| Practice Telephone | 3053745115 |
| Practice Fax Number | 3053745113 |
| Mailing Telephone | 3053745115 |
| Mailing Fax Number | 3053745113 |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-07-21 |
| Authorized Official Name | MS. STEPHANIE KAY SOLOVEI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3053745115 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251X00000X | Supports Brokerage | Agencies |
| Street Address |
260 NE 17TH TER SUITE 202 |
| City | MIAMI |
| State | FL |
| Zip Code | 33132-1194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013361203 | Teba Orueta | Massage Therapist | 260 Ne 17th Ter, Miami, FL 33132-1194 | 2016-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852490 | Wisdom Care Us LLC | In Home Supportive Care | 990 Biscayne Blvd Suite 701-14, Miami, FL 33132 | 2020-05-11 |
| 1982245478 | Maria Carla Fundora | Behavior Technician | 1900 N Bayshore Drive, 1a-122, Miami, FL 33132 | 2019-10-05 |
| 1497284988 | Andrea Talpos | Behavioral Analyst | 1100 Biscayne Blvd Unit 2604, Miami, FL 33132 | 2017-06-08 |
| 1972952679 | Marceli Group Inc | Durable Medical Equipment & Medical Supplies | 14 Ne First Ave 2nd Floor, Miami, FL 33132 | 2016-06-03 |
| 1518369784 | Caring for Miami, Inc | Psychologist | 545 N Miami Ave, Miami, FL 33132 | 2014-09-19 |
| 1194027896 | Michele Garett Morrow | Family Medicine | 1040 Caribbean Way, Miami, FL 33132 | 2010-12-01 |
| 1073755286 | Lisa Michelle Whaley | Podiatrist | 1741 Ne Miami Ct, 602, Miami, FL 33132 | 2009-04-02 |
| 1164663837 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 200 Biscayne Blvd, Miami, FL 33132 | 2009-03-10 |
| 1124277538 | Fitness & Wellness Works, LLC | Physical Therapist | 275 Ne 18 Street, Suite 112, Miami, FL 33132 | 2008-09-10 |
| 1467637892 | Bryan Abasolo | Chiropractor | 1900 N. Bayshore Drive, 1a, Suite 118, Miami, FL 33132 | 2008-01-03 |
| Find all providers in zip 33132 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
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|---|---|---|---|---|
| 1538642681 | Insuring Sources, Inc. | Supports Brokerage | 7031 Sw 60th St, Miami, FL 33143-1835 | 2018-09-13 |
| 1508155185 | Easy Solutions Service Corporation | Supports Brokerage | 2322 Sw 67th Ave, Miami, FL 33155-1846 | 2011-04-04 |
| 1124242896 | Medserv Direct, Inc. | Supports Brokerage | 16434 Sw 75th Ter, Miami, FL 33193-3757 | 2007-04-12 |
| 1922165166 | Carmen-gloria Rodriguez | Supports Brokerage | 444 Ne 30th St Unit 901, Miami, FL 33137-4312 | 2007-01-03 |
| 1225444060 | Healthcare Alliance Group Inc. | Supports Brokerage | 13200 Sw 128th St, F-3, Miami, FL 33186-5881 | 2014-07-01 |
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| 1649881293 | The Mv Group, Inc | Supports Brokerage | 31 Franklin Ct S, St Petersburg, FL 33711-5142 | 2020-08-16 |
| 1508486887 | Bloujay Consulting & Management Services, LLC. | Supports Brokerage | 256 Poinciana St, Sebastian, FL 32958-4044 | 2020-04-16 |
| 1053896878 | Synergy Health Partners LLC | Supports Brokerage | 6415 Lake Worth Rd Ste 102, Greenacres, FL 33463-3009 | 2018-09-27 |
| 1467936807 | Total Care Florida, Inc. | Supports Brokerage | 6801 Lake Worth Rd Ste 302, Greenacres, FL 33467-2966 | 2018-09-21 |
| 1346777588 | Premier Revenue Partners LLC | Supports Brokerage | 10231 Cove Lake Dr, Orlando, FL 32836-3757 | 2017-05-18 |
| 1003366063 | Premier Revenue Solutions LLC | Supports Brokerage | 1155 S Congress Ave Ste C, Palm Springs, FL 33406-5114 | 2016-10-13 |
| 1235686783 | Ican Benefit Group | Supports Brokerage | 2251 North Federal Highway, Pompano Beach, FL 33062 | 2016-09-01 |
| 1225484421 | Armchair Insurance and Tax Services, LLC | Supports Brokerage | 4530 Nw 36th St Apt 102, Lauderdale Lakes, FL 33319-6431 | 2016-05-06 |
| 1659741627 | Jimmie Dean Canole | Supports Brokerage | 2979 S Hwy A1a, Unit 224, Melbourne Beach, FL 32951-2881 | 2015-10-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.