Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jesus Group Home LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1730560434

Jesus Group Home LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Miami, Florida. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15504 SW 104th Ave
Miami, FL 33157-1458
Phone: (786) 592-2281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X

Record details

NPI number1730560434
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zuly Martinez — Ceo · (786) 266-6852
NPI enumeratedJune 18, 2015
Last updated in NPPESJune 18, 2015
Mailing address15504 Sw 104th Ave, Miami, FL 33157-1458

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