PROVIDENCE HEALTH, LLC (NPI# 1316285620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316285620 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH, LLC |
| Practice Address |
43 S Pompano Pkwy #305 Pompano Beach FL 33069-3001 |
| Practice Telephone | 9548577430 |
| Mailing Telephone | 9548577430 |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2013-01-21 |
| Authorized Official Name | KAREN FRANCESCHINI (DIRECTOR) |
| Authorized Official Telephone | 9548577430 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | IMT1092 | FL | Agencies |
| Street Address |
43 S POMPANO PKWY #305 |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33069-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665171 | Patricia Michelle Cooper | Social Worker | Memory Training Centers of America At The Court of Palm, 2701 N. Course Dr., Pompano Beach, FL 33069 | 2019-08-23 |
| 1427619253 | Julio Salas | Dentist | Bcfhc Dental Office, 162 North Powerline Road, Pompano Beach, FL 33069 | 2019-06-24 |
| 1104327758 | Otanys Garcia Hernandez | Behavior Technician | 3433 Sands Habor Trace, Pompano Beach, FL 33069 | 2018-02-27 |
| 1497271209 | Angel A Martinez | Nursing Care | 3235 Nw 2nd St, Unit 104, Pompano Beach, FL 33069 | 2017-08-15 |
| 1134666274 | Michele Nadine Innocent | Nurse Practitioner | 2031 Nw 6th Court, Pompano Beach, FL 33069 | 2017-01-27 |
| 1942743554 | Certified Spine and Pain Care | Pain Medicine | 150 Sw 12th Ave Ste 101a, Pompano Beach, FL 33069 | 2016-11-30 |
| 1245691641 | Patrick Arends | Registered Nurse | 2500 Nw Manor, Pompano Beach, FL 33069 | 2016-03-11 |
| 1962862011 | Ashley Minkus | Registered Nurse | 2500 Nw 29th Manor, Pompano Beach, FL 33069 | 2016-03-02 |
| 1962892828 | Christina Celia | Behavioral Analyst | 3520 Oaks Way #904, Pompano Beach, FL 33069 | 2015-01-30 |
| 1588949382 | Gary Wayne Foulk | Pharmacist | 2401 W Atlantic Blvd, Pompano Beach, FL 33069 | 2011-10-13 |
| Find all providers in zip 33069 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578177366 | Alliance for Behavioral Health Center, Corp | Community/Behavioral Health | 552 S Dixie Hwy E, Pompano Beach, FL 33060-6912 | 2020-08-31 |
| 1235664368 | Beach Stone Counseling | Community/Behavioral Health | 2641 E Atlantic Blvd Ste 308, Pompano Beach, FL 33062-4979 | 2017-04-26 |
| 1922438084 | Solare House, LLC | Community/Behavioral Health | 5197 Ne 14th Ave, Pompano Beach, FL 33064-5601 | 2013-11-26 |
| 1902155906 | Harbor House Recovery Inc | Community/Behavioral Health | 260 Sw 8th St, Unit 3, Pompano Beach, FL 33060-8348 | 2012-09-05 |
| 1336495290 | Pop's House LLC | Community/Behavioral Health | 4101 Ne 13th Ave, Pompano Beach, FL 33064-6040 | 2012-07-30 |
| 1780890327 | Metro Treatment of Florida, Lp | Community/Behavioral Health | 380 Sw 12th Ave, Pompano Beach, FL 33069-3502 | 2007-05-14 |
| 1528113339 | Institute for Family Centered Services | Community/Behavioral Health | 2301 W Sample Rd, Bldg 3 Suite 4a, Pompano Beach, FL 33073-3081 | 2007-01-24 |
| 1396801999 | The Parents Information and Resource Center Inc | Community/Behavioral Health | 817 N Dixie Hwy, Pompano Beach, FL 33060-5621 | 2006-12-28 |
| 1801368212 | Assurance of Hope Institute, Inc | Community/Behavioral Health | 2712 W Atlantic Blvd, Pompano Beach, FL 33069-2551 | 2018-12-24 |
| 1710360482 | Banyan Community Health Center, Inc | Community/Behavioral Health | 220 Sw 2nd St, Pompano Beach, FL 33060-4611 | 2015-06-30 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33069 |
Please comment or provide details below to improve the information on PROVIDENCE HEALTH, LLC.
| 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.