Provider Demographics
NPI:1134926967
Name:WASH TURN BRUSH GROUP HOME FACILITY LLC
Entity type:Organization
Organization Name:WASH TURN BRUSH GROUP HOME FACILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TULIE
Authorized Official - Middle Name:HERARD
Authorized Official - Last Name:BATEAU
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-356-8074
Mailing Address - Street 1:520 NW 131ST ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33168-3713
Mailing Address - Country:US
Mailing Address - Phone:786-356-8074
Mailing Address - Fax:
Practice Address - Street 1:520 NW 131ST ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-3713
Practice Address - Country:US
Practice Address - Phone:786-356-8074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness