CITRUS HEALTH NETWORK (NPI# 1437368784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437368784 |
Entity Type | Organization |
Organization Name | CITRUS HEALTH NETWORK |
Practice Address |
4175 W 20th Ave Hialeah FL 33012-5874 |
Mailing Address |
1086 Longview Weston FL 33326-2905 |
Practice Telephone | 3058250300 |
Mailing Telephone | 9543493329 |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. MARIO JARDON (CEO) |
Authorized Official Telephone | 3058250300 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
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 |
1417250002 | Citrus Health Network | Community/Behavioral Health | 308 E 9th St, Hialeah, FL 33010-4216 | 2010-12-21 |
1669625307 | Citrus Health Network | Durable Medical Equipment & Medical Supplies | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2008-10-28 |
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 |
4175 W 20TH AVE |
City | HIALEAH |
State | FL |
Zip Code | 33012-5874 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740232255 | Reinaldo Hernandez | Psychiatry & Neurology | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2006-05-16 |
1346867082 | Stephanie Schein | Social Worker | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2020-06-29 |
1346866837 | Roberto Andres Orozco Vega | Student in an Organized Health Care Education/Training Program | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2020-06-19 |
1376168401 | Bianca Alonso | Counselor | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2020-06-15 |
1568085785 | Michelle Caridad Vallejo | Counselor | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2020-05-21 |
1467074922 | Virginia Amanda Ulloa | Student in an Organized Health Care Education/Training Program | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2020-05-07 |
1730700402 | Mariestrella Morffi-pla | Student in an Organized Health Care Education/Training Program | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2020-05-04 |
1962023960 | Erick Acosta Heredia | Student in an Organized Health Care Education/Training Program | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2020-04-30 |
1275160764 | Jose Ignacio Ramirez Rodriguez | Counselor | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2020-03-24 |
1568097137 | Isabella Kristin Pischner | Social Worker | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2020-03-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699324160 | Maria Antonia Espinosa | Behavior Technician | 520 W 38th Pl, Hialeah, FL 33012 | 2019-09-08 |
1972157428 | Fernandez Orthofeet Corp | Prosthetic/Orthotic Supplier | 3750 W 16th Ave Suite 102, Hialeah, FL 33012 | 2019-08-01 |
1790267045 | Teresita De Jesus Santander | Nurse Practitioner | 1414 West 43dr Pl, Hialeah, FL 33012 | 2018-09-04 |
1245721760 | Physical Therapy Now of South Florida LLC | Clinic/Center | 3595 West 20 Ave Ste B, Hialeah, FL 33012 | 2018-05-21 |
1346741618 | Yamirka Sanchez Perez | General Practice | 1840 W 49th St Ste 105, Hialeah, FL 33012 | 2018-02-22 |
1356840334 | Janet Rodriguez | Behavior Technician | 5430 W 10th Ct, Hialeah, FL 33012 | 2018-02-06 |
1235644642 | Gustavo Brache | Massage Therapist | 3905 West 20 Avenue, Suite 125, Hialeah, FL 33012 | 2017-12-07 |
1962911487 | Yenisey Garabito | Behavior Technician | 1805west 56st Apt 109, Hialeah, FL 33012 | 2017-09-27 |
1023536026 | Florida Dental Alliance | Dentist | 4355 W 16 Ave Suite, #205a, Hialeah, FL 33012 | 2017-08-30 |
1861919508 | Masury Montes De Oca | Behavior Technician | 261 W 35 Street, Hialeah, FL 33012 | 2017-08-24 |
Find all providers in zip 33012 |
Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093855124 | Citrus Health Network, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2007-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427688852 | Tropical Gardens LLC | Community Based Residential Treatment Facility, Mental Illness | 150 Ne 212th St, Miami Gardens, FL 33179-1017 | 2020-01-24 |
1417505850 | Herve Franck | Community Based Residential Treatment Facility, Mental Illness | 13901 Folkestone Cir, Wellington, FL 33414-7825 | 2019-08-28 |
1568014868 | Hestia House of Florida, Inc. | Community Based Residential Treatment Facility, Mental Illness | 816 N Grandview Ave # 2, Daytona Beach, FL 32118-3721 | 2019-07-16 |
1336628155 | Lavoryia Timmons | Community Based Residential Treatment Facility, Mental Illness | 24940 Hyde Park Blvd, Land O Lakes, FL 34639-6306 | 2018-08-13 |
1003324534 | Donyell Jones | Community Based Residential Treatment Facility, Mental Illness | 6239 Edgewater Dr Ste V2, Orlando, FL 32810-4764 | 2018-01-18 |
1437672748 | Reasons for Change, LLC | Community Based Residential Treatment Facility, Mental Illness | 143 Silver Beach Road, Lake Park, FL 33403 | 2017-07-18 |
1316477029 | Cerrato Associates Incorporation | Community Based Residential Treatment Facility, Mental Illness | 755 Shady Oaks Dr Apt 310, Palm Coast, FL 32164-2578 | 2017-06-14 |
1356877047 | Samaritan Counseling Center | Community Based Residential Treatment Facility, Mental Illness | 101 Se 3rd Avenue, Fort Lauderdale, FL 33301 | 2017-05-02 |
1780119917 | Open Arm Housing and Care | Community Based Residential Treatment Facility, Mental Illness | 4031 Nw 91st Ters, Sunrise, FL 33351 | 2017-04-25 |
1124476064 | Parent Support, LLC | Community Based Residential Treatment Facility, Mental Illness | 146 Sunset View Dr., Davenport, FL 33896 | 2016-06-01 |
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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.