COMMUNITY HEALTH OF SOUTH FLORIDA, INC. (NPI# 1669626792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669626792 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH OF SOUTH FLORIDA, INC. |
| Other Organization Name | SOUTH DADE SENIOR HIGH SCHOOL |
| Practice Address |
28401 Sw 167th Ave Homestead FL 33030-2005 |
| Mailing Address |
10300 Sw 216th St Miami FL 33190-1003 |
| Practice Telephone | 3052453455 |
| Mailing Telephone | 3052535100 |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2013-09-19 |
| 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 | 029572844 - FFS | 05 | |
| FL | 029572832 - FQHC | 05 |
| Other Name | Type Code |
|---|---|
| South Dade Senior High School | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942617642 | Community Health of South Florida, Inc. | Clinic/Center | 820 Sw 1st St, Homestead, FL 33030-6904 | 2014-07-15 |
| 1558784967 | Community Health of South Florida, Inc. | Clinic/Center | 450 Bird Rd, Coral Gables, FL 33146-1306 | 2014-01-22 |
| 1003239344 | Community Health of South Florida, Inc. | Clinic/Center | 5120 Sunset Dr, Miami, FL 33143-6024 | 2014-01-22 |
| 1821411232 | Community Health of South Florida, Inc. | Clinic/Center | 3351 Matilda St, Miami, FL 33133-5138 | 2014-01-22 |
| 1992128300 | Community Health of South Florida, Inc. | Clinic/Center | 4901 Lincoln Dr, Coral Gables, FL 33133-5635 | 2014-01-22 |
| 1932522331 | Community Health of South Florida, Inc. | Clinic/Center | 5801 Augusto St, Coral Gables, FL 33146-2606 | 2014-01-22 |
| 1740603091 | Community Health of South Florida, Inc. | Clinic/Center | 5901 Sw 16th St, Miami, FL 33155-2106 | 2014-01-22 |
| 1811310220 | Community Health of South Florida, Inc. | Clinic/Center | 6639 Sw 74th St, South Miami, FL 33143-4621 | 2014-01-22 |
| 1528481934 | Community Health of South Florida, Inc. | Clinic/Center | 6750 Sw 60th St, Miami, FL 33143-1909 | 2014-01-22 |
| 1699198002 | Community Health of South Florida, Inc. | Clinic/Center | 6856 Sw 53rd St, Miami, FL 33155-5716 | 2014-01-22 |
| Street Address |
28401 SW 167TH AVE |
| City | HOMESTEAD |
| State | FL |
| Zip Code | 33030-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515871 | Clinica Las Mercedes Vi, Inc | Clinic/Center | 290 Ne 8 Street, Homestead, FL 33030 | 2019-12-18 |
| 1770124331 | Md Now Medical Centers Inc | Clinic/Center | 729 S Homestead Blvd, Homestead, FL 33030 | 2019-10-04 |
| 1437611787 | Yevgeniy Mailyan | Behavior Technician | 1513 Sw 2nd Court, Homestead, FL 33030 | 2019-04-04 |
| 1144789306 | Special Delivery Health Center, LLC | Midwife | 123 N. Krome Avenue, Suite 101, Homestead, FL 33030 | 2019-03-18 |
| 1144718578 | Galovin Solutions Inc | Behavioral Analyst | 50 Nw 15th St Ste 111, Homestead, FL 33030 | 2018-05-01 |
| 1003332073 | Juan C Gonzalez Ibarra | Behavior Technician | 800 Ne 12th Ave Apt# C214, Homestead, FL 33030 | 2017-08-21 |
| 1023534757 | Lunilda L Mcvay | Psychologist | 151 Nw 11st St Suite W-201, Monarch All Health, LLC, Homestead, FL 33030 | 2017-08-15 |
| 1295250025 | Clara L Perez | Behavior Technician | 800 Ne 12th Ave Apt# L256, Homestead, FL 33030 | 2017-08-14 |
| 1205350535 | Charity's Homemaker Companion Services, LLC | Homemaker | 30855 Sw 205 Ave, Homestead, FL 33030 | 2017-07-28 |
| 1003346693 | Yanet Rodriguez Sardinas | Behavioral Analyst | 906 Nw 3rd Ave, Homestead, FL 33030 | 2017-06-15 |
| Find all providers in zip 33030 | ||||
| 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.