COMMUNITY HEALTH OF SOUTH FLORIDA, INC. (NPI# 1295078186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295078186 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH OF SOUTH FLORIDA, INC. |
| Other Organization Name | WEST KENDALL HEALTH CENTER |
| Practice Address |
13540 Sw 135th Ave Miami FL 33186-6184 |
| Mailing Address |
10300 Sw 216th Street Miami FL 33190-1003 |
| Practice Telephone | 3052535100 |
| Practice Fax Number | 3052525881 |
| Mailing Telephone | 3052535100 |
| Mailing Fax Number | 3052525881 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2016-04-15 |
| Authorized Official Name | BRODES H HARTLEY JR. (PRESIDENT/CEO) |
| Authorized Official Telephone | 3052535100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 029572896 | 05 | |
| FL | 029572895 | 05 |
| Other Name | Type Code |
|---|---|
| West Kendall Health Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942617642 | Community Health of South Florida, Inc. | Clinic/Center | 820 Sw 1st St, Homestead, FL 33030-6904 | 2014-07-15 |
| 1558784967 | Community Health of South Florida, Inc. | Clinic/Center | 450 Bird Rd, Coral Gables, FL 33146-1306 | 2014-01-22 |
| 1003239344 | Community Health of South Florida, Inc. | Clinic/Center | 5120 Sunset Dr, Miami, FL 33143-6024 | 2014-01-22 |
| 1821411232 | Community Health of South Florida, Inc. | Clinic/Center | 3351 Matilda St, Miami, FL 33133-5138 | 2014-01-22 |
| 1992128300 | Community Health of South Florida, Inc. | Clinic/Center | 4901 Lincoln Dr, Coral Gables, FL 33133-5635 | 2014-01-22 |
| 1932522331 | Community Health of South Florida, Inc. | Clinic/Center | 5801 Augusto St, Coral Gables, FL 33146-2606 | 2014-01-22 |
| 1740603091 | Community Health of South Florida, Inc. | Clinic/Center | 5901 Sw 16th St, Miami, FL 33155-2106 | 2014-01-22 |
| 1811310220 | Community Health of South Florida, Inc. | Clinic/Center | 6639 Sw 74th St, South Miami, FL 33143-4621 | 2014-01-22 |
| 1528481934 | Community Health of South Florida, Inc. | Clinic/Center | 6750 Sw 60th St, Miami, FL 33143-1909 | 2014-01-22 |
| 1699198002 | Community Health of South Florida, Inc. | Clinic/Center | 6856 Sw 53rd St, Miami, FL 33155-5716 | 2014-01-22 |
| Street Address |
13540 SW 135TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-6184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417467853 | Tariku Menberu | Nurse Practitioner | 13540 Sw 135th Ave, Miami, FL 33186-6184 | 2017-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452438 | Jessie Trice Community Health System Inc | Clinic/Center | 5361 Nw 22nd Ave # M1, Miami, FL 33142-8035 | 2020-09-23 |
| 1396395075 | Citrus Health Network | Clinic/Center | 1645a Sw 107th Ave, Miami, FL 33165-7344 | 2019-09-16 |
| 1952767402 | Jessie Trice Community Health System Inc | Clinic/Center | 1400 Nw 36th St, Miami, FL 33142-5558 | 2016-01-13 |
| 1467826487 | Community Health of South Florida Inc | Clinic/Center | 650 Nw 132nd Ave, Miami, FL 33182-1155 | 2015-11-16 |
| 1861861668 | Borinquen Health Care Center Inc | Clinic/Center | 6161 Nw 5 Court, Miami Edison Senior High, Miami, FL 33127 | 2015-09-22 |
| 1053780833 | Borinquen Health Care Center Inc | Clinic/Center | 2450 Sw 1 Street, Maimi Senior High, Miami, FL 33135 | 2015-09-22 |
| 1326417114 | Borinquen Health Care Center Inc | Clinic/Center | 330 Nw 97 Avenue, Ewf Stirrup Elementary, Miami, FL 33172 | 2015-09-22 |
| 1174992978 | Borinquen Health Care Center Inc | Clinic/Center | 350 Nw 97 Avenue, Ruben Dario Middle, Miami, FL 33172 | 2015-09-22 |
| 1225407026 | Borinquen Health Care Center Inc | Clinic/Center | 6101 Nw 2 Avenue, Itech @ Thomas A. Edison High, Miami, FL 33127 | 2015-09-22 |
| 1417326208 | Charles R. Hadley Elementary | Clinic/Center | 8400 Nw 7 Street, Charles R. Hadley Elementary, Miami, FL 33126 | 2015-09-22 |
| Find all providers in MIAMI | ||||
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| 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.