Organization
MY FOREVER FAMILY GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISS PEREZ (OWNER)
(239) 450-4516
Entity
Organization
Contact information
Practice address
770 16TH ST SE, NAPLES, FL 34117-9424
(239) 450-4516
Mailing address
770 16TH ST SE, NAPLES, FL 34117-9424
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up