COMMUNITY HEALTH OF SOUTH FLORIDA INC (NPI# 1992968408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992968408 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH OF SOUTH FLORIDA INC |
| Other Organization Name | CAMPBELL DRIVE ELEMENTARY |
| Practice Address |
15790 Sw 307th St Homestead FL 33033-4200 |
| Mailing Address |
10300 Sw 216th St Miami FL 33190-1003 |
| Practice Telephone | 3052450270 |
| Practice Fax Number | 3052477903 |
| Mailing Telephone | 3052535100 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2013-04-17 |
| Authorized Official Name | BRODES H HARTLEY JR. (CEO) |
| Authorized Official Telephone | 3052535100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 029572821 - FQHC | 05 | |
| FL | 029572822 - FFS | 05 |
| Other Name | Type Code |
|---|---|
| Campbell Drive Elementary | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851766265 | Community Health of South Florida Inc | Clinic/Center | 23555 Sw 112th Ave, Homestead, FL 33032-4506 | 2015-12-10 |
| 1467826487 | Community Health of South Florida Inc | Clinic/Center | 650 Nw 132nd Ave, Miami, FL 33182-1155 | 2015-11-16 |
| 1760645287 | Community Health of South Florida Inc | Clinic/Center | 13600 Sw 312th St, Homestead, FL 33033-5500 | 2008-07-03 |
| 1942822242 | Community Health of South Florida Inc | Community/Behavioral Health | 10300 Sw 216th St, Cutler Bay, FL 33190-1003 | 2020-05-11 |
| 1255870663 | Community Health of South Florida Inc | Clinic/Center | 19400 Gulfstream Rd, Cutler Bay, FL 33157-8658 | 2017-02-17 |
| 1477004745 | Community Health of South Florida Inc | Clinic/Center | 10300 Sw 216th St, Suite D, Cutler Bay, FL 33190-1003 | 2016-10-20 |
| 1356701437 | Community Health of South Florida Inc | Clinic/Center | 1511 Truman Ave, Key West, FL 33040-7252 | 2016-03-02 |
| 1174998397 | Community Health of South Florida Inc | Clinic/Center | 15625 Sw 80th St, Miami, FL 33193-2629 | 2015-12-14 |
| 1306211719 | Community Health of South Florida Inc | Clinic/Center | 4861 Sw 140th Ave, Miami, FL 33175-4807 | 2015-12-10 |
| 1104291517 | Community Health of South Florida Inc | Clinic/Center | 11901 Sw 2nd St, Miami, FL 33184-1601 | 2015-12-10 |
| Street Address |
15790 SW 307TH ST |
| City | HOMESTEAD |
| State | FL |
| Zip Code | 33033-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451832 | Rodolfo Sigler | Pharmacist | 1499 South Dixie Highway, Homestead, FL 33033 | 2019-11-15 |
| 1891337119 | Ricardo Saez | Nurse Practitioner | 2936 Se 3rd Street, Homestead, FL 33033 | 2019-10-09 |
| 1164904876 | Mayrelis Rodriguez Chaviano | Behavior Technician | 1510 E Mowry Dr Apt 107, Homestead, FL 33033 | 2018-08-30 |
| 1598252470 | Mcdivitt Arnold | Community/Behavioral Health | 945 Ne 34 Ave, 104, Homestead, FL 33033 | 2018-04-17 |
| 1972007870 | Anaivys Gomez Abreu | Behavior Technician | 1504 E Mowry Dr Apt 101, Homestead, FL 33033 | 2018-03-23 |
| 1023519261 | Lifeway Programs LLC | Community/Behavioral Health | 15300 Sw 288th St, Homestead, FL 33033 | 2018-02-22 |
| 1447759964 | Yaneisis Salazar Barata | Physical Therapy Assistant | 31 N Krome, Homestead, FL 33033 | 2018-02-10 |
| 1184132763 | C.o.r. Injury Centers of Homestead Inc. | Clinic/Center | 15600 Sw 288th Street, Homestead, FL 33033 | 2018-01-17 |
| 1790299949 | Aidalis Hechavarria | Behavior Technician | 1548 Ne 8th St Apt 105, Homestead, FL 33033 | 2017-11-27 |
| 1053839621 | Generosa E Gonzalez | Behavior Technician | 30322 Sw 161 Ave, Homestead, FL 33033 | 2017-09-05 |
| Find all providers in zip 33033 | ||||
| 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 |
|---|---|---|---|---|
| 1851766265 | Community Health of South Florida Inc | Clinic/Center | 23555 Sw 112th Ave, Homestead, FL 33032-4506 | 2015-12-10 |
| 1942617642 | Community Health of South Florida, Inc. | Clinic/Center | 820 Sw 1st St, Homestead, FL 33030-6904 | 2014-07-15 |
| 1922421320 | Community Health of South Florida, Inc. | Clinic/Center | 955 Se 18th Ave, Homestead, FL 33035-1901 | 2014-01-22 |
| 1548683956 | Community Health of South Florida, Inc. | Clinic/Center | 29035 Sw 144th Ave, Homestead, FL 33033-2903 | 2014-01-22 |
| 1578717609 | Community Health of South Florida, Inc. | Clinic/Center | 1550 Sw 6th St, Homestead, FL 33030-6711 | 2008-11-17 |
| 1194970228 | Community Health of South Florida, Inc. | Clinic/Center | 650 Nw 2nd Ave, Homestead, FL 33030-5809 | 2008-11-17 |
| 1932353067 | Community Health of South Florida, Inc. | Clinic/Center | 900 Ne 23rd Ave, Homestead, FL 33033-4700 | 2008-11-17 |
| 1013162148 | Community Health of South Florida, Inc. | Clinic/Center | 12829 Sw 272nd St, Homestead, FL 33032-7805 | 2008-11-17 |
| 1649425778 | Community Health of South Florida, Inc. | Clinic/Center | 14950 Sw 288th St, Homestead, FL 33033-1527 | 2008-11-17 |
| 1922253053 | Community Health of South Florida, Inc. | Clinic/Center | 16969 Sw 294th St, Homestead, FL 33030-2541 | 2008-11-17 |
| Find all providers in HOMESTEAD | ||||
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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.