# BA GROUP OF MIAMI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215582226
- **Authorized official:** MS. CHYKIMBERLY QUANTEZ BULLARD MS (OWNER)
- **Authorized official phone:** (786) 348-4771

## Contact information

- **Practice address:** 1160 NW 108TH ST, MIAMI, FL 33168-6032
- **Practice address phone:** (786) 348-4771
- **Mailing address:** 12555 BISCAYNE BLVD \# 914, NORTH MIAMI, FL 33181-2522
- **Mailing address phone:** (786) 348-4771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 177F00000X | Lodging Provider | — | NULL | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 305S00000X | Point of Service | — | NULL | — |
| 311Z00000X | Custodial Care Facility | — | NULL | — |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 08/06/2019
- **Last updated:** 08/06/2019