CARE RESOURCE COMMUNITY HEALTH CENTERS, INC (NPI# 1093717464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093717464 |
| Entity Type | Organization |
| Organization Name | CARE RESOURCE COMMUNITY HEALTH CENTERS, INC |
| Practice Address |
871 W Oakland Park Blvd Wilton Manors FL 33311 |
| Mailing Address |
3510 Biscayne Blvd Ste 300 Miami FL 33137-3840 |
| Practice Telephone | 9545677141 |
| Practice Fax Number | 9545655624 |
| Mailing Telephone | 3055761234 |
| Mailing Fax Number | 3055712020 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | MR. RICK SICLARI (CEO) |
| Authorized Official Telephone | 3055761234 |
| Authorized Official Credential | M.B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | FL | Agencies | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0034079-07 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053311373 | Care Resource Community Health Centers, Inc | Community/Behavioral Health | 3801 Biscayne Blvd, Miami, FL 33137 | 2005-07-28 |
| Street Address |
871 W OAKLAND PARK BLVD |
| City | WILTON MANORS |
| State | FL |
| Zip Code | 33311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178810 | Lyndsey Elsass | Counselor | 871 W Oakland Park Blvd, Wilton Manors, FL 33311-1731 | 2020-09-14 |
| 1730712480 | Jennifer Marie Palmer | Counselor | 871 W Oakland Park Blvd, Wilton Manors, FL 33311-1731 | 2020-02-20 |
| 1760013882 | Sujen A Gentles | Licensed Practical Nurse | 871 W Oakland Park Blvd, Wilton Manors, FL 33311-1731 | 2020-01-28 |
| 1508406638 | Carmelo Andrea Romanello | Counselor | 871 W Oakland Park Blvd, Wilton Manors, FL 33311-1731 | 2020-01-07 |
| 1568974723 | Scott Peter Heichman | Nurse Practitioner | 871 W Oakland Park Blvd, Wilton Manors, FL 33311-1731 | 2017-10-27 |
| 1740711407 | Adrienne Grudzien | Social Worker | 871 W Oakland Park Blvd, Wilton Manors, FL 33311-1731 | 2017-03-24 |
| 1316393937 | Clayton James Harrison Jr. | Counselor | 871 W Oakland Park Blvd, Wilton Manors, FL 33311-1731 | 2016-05-12 |
| 1619323656 | Ethel Maria Alvarado | Social Worker | 871 W Oakland Park Blvd, Wilton Manors, FL 33311-1731 | 2016-05-09 |
| 1881059616 | Sharona C Baker | Counselor | 871 W Oakland Park Blvd, Wilton Manors, FL 33311-1731 | 2015-12-21 |
| 1649661323 | Patricia Gustafsson | Social Worker | 871 W Oakland Park Blvd, Wilton Manors, FL 33311-1731 | 2015-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
| 1942769534 | Cbd Skeletal Solutions, LLC | Durable Medical Equipment & Medical Supplies | 630 Tennis Club Drive, Outerbridge - 407, Ft. Lauderdale, FL 33311 | 2019-03-14 |
| 1770049116 | Jordan Matthew Nodelman | Social Worker | 871 W Oakland Park Boulevard, Oakland Park, FL 33311 | 2019-02-11 |
| 1417422304 | Carebridge Home Health of Flrorida | Home Health | 1871 West Oakland Park Blvd, Suite E, Oakland Park, FL 33311 | 2018-10-08 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1477047058 | Latino Medical Center IIi | General Practice | 3670 W Oakland Blvd, Lauderdale Lakes, FL 33311 | 2018-06-18 |
| 1316442049 | Anita Fox | Non-emergency Medical Transport (VAN) | 2880 West Oakland Park Blvd, 234, Oakland Park, FL 33311 | 2018-03-26 |
| 1669995957 | Lola J Lewis-walker | Nurse Practitioner | 925 Nw 14th St, Fort Lauderdale, FL 33311 | 2017-07-19 |
| 1598294936 | Abigail D Garcia | Counselor | 713 Nw 1st Ave, Fort Lauderdale, FL 33311 | 2017-06-08 |
| 1548712524 | Hubert Faustin | Counselor | 1409 Nw 1st Avenue, Fort Lauderdale, FL 33311 | 2016-10-26 |
| Find all providers in zip 33311 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | WILTON MANORS |
| Zip Code | 33311 |
Please comment or provide details below to improve the information on CARE RESOURCE COMMUNITY HEALTH CENTERS, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.