CITRUS HEALTH NETWORK (NPI# 1417250002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417250002 |
| Entity Type | Organization |
| Organization Name | CITRUS HEALTH NETWORK |
| Practice Address |
308 E 9th St Hialeah FL 33010-4216 |
| Mailing Address |
4175 W 20th Ave Hialeah FL 33012-5874 |
| Practice Telephone | 3055727140 |
| Practice Fax Number | 3055727128 |
| Mailing Telephone | 3054243100 |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |
| Authorized Official Name | MARIO E. JARDON (CEO & PRESIDENT) |
| Authorized Official Telephone | 3054243100 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060304003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508573 | Citrus Health Network | Pharmacy | 551 W 51st Pl Fl 1, Hialeah, FL 33012-3601 | 2019-09-20 |
| 1396395075 | Citrus Health Network | Clinic/Center | 1645a Sw 107th Ave, Miami, FL 33165-7344 | 2019-09-16 |
| 1669625307 | Citrus Health Network | Durable Medical Equipment & Medical Supplies | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2008-10-28 |
| 1437368784 | Citrus Health Network | Community Based Residential Treatment Facility, Mental Illness | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2007-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CITRUS HEALTH NETWORK, INC. | 4175 W 20th Ave, Hialeah, FL 33012-5874 |
| Street Address |
308 E 9TH ST |
| City | HIALEAH |
| State | FL |
| Zip Code | 33010-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962068619 | Julia Maria Hernandez | Behavior Technician | 28 Essex Ave, Hialeah, FL 33010 | 2019-05-17 |
| 1376018804 | Clinica Las Mercedes Iv, Inc. | Clinic/Center | 149 West 21st Street, Hialeah, FL 33010 | 2018-10-11 |
| 1760965172 | Carolyn Troche | Behavior Technician | 2695 W 6th Ave, Hialeah, FL 33010 | 2018-09-11 |
| 1013499714 | Marilyn Rueda | Counselor | 310 E 5th St., Hialeah, FL 33010 | 2018-08-30 |
| 1467932954 | Maribel Zorrilla | Home Health Aide | 840 Se 1st, Hialeah, FL 33010 | 2018-08-15 |
| 1790277382 | Rafael Mugia Fernandez | Behavior Technician | 695 E 8th Ct, Hialeah, FL 33010 | 2018-05-31 |
| 1669962999 | Odalis Gonzalez | Behavior Technician | 282 E 18th St, Hialeah, FL 33010 | 2018-05-11 |
| 1760989651 | Fernando Oscar Larrua Gonzalez | Behavior Technician | 950 W 3rd Ave Apt 18, Hialeah, FL 33010 | 2018-04-09 |
| 1598267056 | Nubia Sierra | Technician, Other | 906 E 4 Ave, Hialeah, FL 33010 | 2018-03-01 |
| 1275033037 | Catisleidys N/a Maqueira | Behavior Technician | Catisleidys Maqueira, 304 W 19 Tu Street Apt Rear, Hialeah, FL 33010 | 2018-02-19 |
| Find all providers in zip 33010 | ||||
| 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 |
|---|---|---|---|---|
| 1235739806 | Twins Medical Services Corp | Community/Behavioral Health | 4051 E 8th Ave Ste 5, Hialeah, FL 33013-2800 | 2020-10-31 |
| 1417556903 | Genesis Community Mental Health LLC | Community/Behavioral Health | 6043 Nw 167th St Ste A10, Hialeah, FL 33015-4322 | 2020-10-26 |
| 1871192328 | Wellness Community & Medical Center Inc | Community/Behavioral Health | 946 E 25th St, Hialeah, FL 33013-3404 | 2020-10-25 |
| 1336755628 | Community Health Therapy Center | Community/Behavioral Health | 777 E 25th St Ste 507, Hialeah, FL 33013-3834 | 2020-09-22 |
| 1841805280 | Clinica Sur Medical Center Corp | Community/Behavioral Health | 18400 Nw 75th Pl Ste 106, Hialeah, FL 33015-2956 | 2020-09-12 |
| 1134737752 | Solutions Community Center, Corp | Community/Behavioral Health | 17699 Nw 78th Ave, Hialeah, FL 33015-3627 | 2020-07-20 |
| 1538786389 | Ya Health Community Center Inc | Community/Behavioral Health | 900 W 49th St Ste 512, Hialeah, FL 33012-3488 | 2020-06-28 |
| 1073136339 | Mind & Soul Medical Center Inc | Community/Behavioral Health | 2750 W 68th St Ste 207, Hialeah, FL 33016-5450 | 2020-05-21 |
| 1215566260 | Quality Health Care System Inc | Community/Behavioral Health | 419 W 49th St Ste 212-213, Hialeah, FL 33012-3654 | 2020-04-02 |
| 1619500105 | Santa Ana Behavior Institute | Community/Behavioral Health | 6500 W 4th Ave Ste 32, Hialeah, FL 33012-6606 | 2020-02-13 |
| Find all providers in HIALEAH | ||||
Please comment or provide details below to improve the information on CITRUS HEALTH NETWORK.
| 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.