MCCI GROUP HOLDINGS LLC (NPI# 1265905004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265905004 |
| Entity Type | Organization |
| Organization Name | MCCI GROUP HOLDINGS LLC |
| Other Organization Name | CONVIVA CARE CENTER |
| Practice Address |
551856 Us Highway Suite 108 Hilliard FL 32046 |
| Mailing Address |
6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 |
| Practice Telephone | 9048622482 |
| Mailing Telephone | 3055002000 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-07-03 |
| Authorized Official Name | GEMMA ROSELLO (OFFICER) |
| Authorized Official Telephone | 3055002000 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCCI GROUP HOLDINGS LLC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Conviva Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770056673 | Mcci Group Holdings LLC | Internal Medicine | 5317 W Atlantic Ave Ste 104, Delray Beach, FL 33484-8175 | 2019-01-03 |
| 1184197097 | Mcci Group Holdings LLC | Family Medicine | 5350 W Atlantic Ave Ste 100, Delray Beach, FL 33484-8112 | 2019-01-03 |
| 1083187827 | Mcci Group Holdings LLC | Family Medicine | 463646 Sr 200 West, Suite 12, Yulee, FL 32097 | 2019-01-04 |
| 1629541537 | Mcci Group Holdings LLC | Internal Medicine | 9121 N Military Trl Ste 111, Palm Beach Gardens, FL 33410-5985 | 2019-01-03 |
| 1932672748 | Mcci Group Holdings LLC | Internal Medicine | 7200 Normandy Blvd Ste 20, Jacksonville, FL 32205-6271 | 2019-01-03 |
| 1649743451 | Mcci Group Holdings LLC | Family Medicine | 25 University Blvd N, Jacksonville, FL 32211-7550 | 2019-01-03 |
| 1770056681 | Mcci Group Holdings LLC | Internal Medicine | 5238-16 Norwood Ave, Jacksonville, FL 32208-5005 | 2019-01-03 |
| 1700359619 | Mcci Group Holdings LLC | Internal Medicine | 5849 Okeechobee Blvd Ste 301, West Palm Beach, FL 33417-4352 | 2019-01-03 |
| 1518430420 | Mcci Group Holdings LLC | Family Medicine | 11744 Beach Blvd Ste 107, Jacksonville, FL 32246-8476 | 2019-01-03 |
| 1578036489 | Mcci Group Holdings LLC | Internal Medicine | 1786 Blanding Blvd Ste 3, Middleburg, FL 32068-3804 | 2019-01-03 |
| Street Address |
551856 US HIGHWAY SUITE 108 |
| City | HILLIARD |
| State | FL |
| Zip Code | 32046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538615745 | Kayla Jones | Specialist/Technologist | 38224 Appian Way, Hilliard, FL 32046 | 2016-08-28 |
| 1508259920 | Michael Amer Nackashi | Case Management | 551856 Us Hwy 1, Hilliard, FL 32046 | 2015-03-10 |
| 1669826434 | Yolanda Sabrina Carter | Chore Provider | 552382 Us Highway 1, Hilliard, FL 32046-2328 | 2016-04-19 |
| 1588279210 | Galleon Homecare Services, Inc. | Skilled Nursing Facility | 552382 Us Highway 1, Hilliard, FL 32046-2328 | 2020-09-10 |
| 1073969077 | Galleon Homecare Services, Inc. | Clinic/Center | 552382 Us Highway 1, Hilliard, FL 32046-2328 | 2016-05-09 |
| 1922346204 | Dayspring Village, Inc. | Assisted Living Facility | 554820 Us Highway 1, Hilliard, FL 32046-2846 | 2013-01-22 |
| 1841751070 | Dayspring Village, Inc. | Clinical Medical Laboratory | 554820 Us Highway 1, Hilliard, FL 32046-2846 | 2019-03-29 |
| 1508470527 | Lyla Marie Smith | Family Medicine | 2432 Ruby Dr, Hilliard, FL 32046-5462 | 2020-09-08 |
| 1801207360 | George Weldon Lewis | Veterinarian | 4842 Absolute Dr, Hilliard, FL 32046-6314 | 2014-05-17 |
| 1295270098 | Alyssa Labiak | Case Manager/Care Coordinator | 15891 County Road 108, Hilliard, FL 32046-6733 | 2017-01-03 |
| Find all providers in zip 32046 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470527 | Lyla Marie Smith | Family Medicine | 2432 Ruby Dr, Hilliard, FL 32046-5462 | 2020-09-08 |
| 1265873459 | Hilliard Station Urgent Care LLC | Family Medicine | 5263 Nike Station Way Ste A, Hilliard, OH 43026-7449 | 2013-07-16 |
| 1225297146 | Urgent Care of Mchp, LLC | Family Medicine | 3779 Trueman Ct, Hilliard, OH 43026-2496 | 2008-06-05 |
| 1679768667 | Dr. Michael V. Sharpe | Family Medicine | 3772 W 3rd St, Hilliard, FL 32046-6846 | 2007-09-12 |
| 1558409201 | Karen Margaret Morrison | Family Medicine | 4674 Britton Pkwy Ste 1600, Hilliard, OH 43026-9825 | 2007-02-02 |
| 1134203680 | Daniel Fleshman | Family Medicine | 3617 Heritage Club Dr, Hilliard, OH 43026-1313 | 2006-10-24 |
| 1790872992 | Adel G. Hanna | Family Medicine | 5677 Scioto Darby Rd Ste 200, Hilliard, OH 43026-1368 | 2006-10-07 |
| 1427153444 | Pond Family Medical Center, Inc | Family Medicine | 4960 Cemetery Rd, Suite B, Hilliard, OH 43026-1622 | 2006-09-14 |
| 1619083169 | Veronica K Burda | Family Medicine | 4444 Davidson Rd, Hilliard, OH 43026-9647 | 2006-08-21 |
| 1194736140 | Doctors Primary Care - Hilliard, Inc | Family Medicine | 5548 Hilliard Rome Office Park, Hilliard, OH 43026-7286 | 2006-08-11 |
| Find all providers in HILLIARD | ||||
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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.