1649652132 NPI number — THE HOUSE OF MOVEMENT LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649652132 NPI number — THE HOUSE OF MOVEMENT LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE HOUSE OF MOVEMENT LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649652132
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/22/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 562170
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33256-2170
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-256-4745
Provider Business Mailing Address Fax Number:
305-200-5926

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1900 BRICKELL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33129-1719
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-220-5911
Provider Business Practice Location Address Fax Number:
305-200-5926
Provider Enumeration Date:
06/22/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VALDES
Authorized Official First Name:
GLADYS
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
786-256-4745

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)