Healthcare Provider Details

I. General information

NPI: 1164354254
Provider Name (Legal Business Name): GARCIA GROUP HOME INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 NW 76TH AVE
MIAMI FL
33126-4141
US

IV. Provider business mailing address

33 NW 76TH AVE
MIAMI FL
33126-4141
US

V. Phone/Fax

Practice location:
  • Phone: 786-229-5902
  • Fax:
Mailing address:
  • Phone: 786-229-5902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KLAY R MORENO SR.
Title or Position: CEO
Credential:
Phone: 786-229-5902