Unknown Individual – Community/Behavioral Health Agency, NPI 1073111621

Unknown Individual is a healthcare provider. based in Opa locka, Florida. specializing in Community/Behavioral Health Agency. The NPI Number for Unknown Individual is 1073111621

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073111621
Phone
(786) 286-5297
Address
4169 NW 135TH ST
Deactivation Date
21 March 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 4169 NW 135TH ST

    OPA LOCKA, FL 330544658

    Phone: (786) 286-5297

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33054)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1073111621 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Community/Behavioral Health Agency for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Opa Locka, Florida because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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