GREATER HARVEST COMMUNITY OUTREACH LIFE CENTER (NPI# 1689228884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689228884 |
| Entity Type | Organization |
| Organization Name | GREATER HARVEST COMMUNITY OUTREACH LIFE CENTER |
| Practice Address |
4888 Nw 183rd St Ste 215 Miami Gardens FL 33055-2943 |
| Mailing Address |
17950 Nw 22nd Ct Miami Gardens FL 33056-3706 |
| Practice Telephone | 9545910896 |
| Mailing Telephone | 7865658377 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | DR. GERALD EALEY (OWNER) |
| Authorized Official Telephone | 7865658377 |
| Authorized Official Credential | DO,MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Greater Harvest Community Outreach Life Center | Doing Business As Name - Organization |
| Street Address |
4888 NW 183RD ST STE 215 |
| City | MIAMI GARDENS |
| State | FL |
| Zip Code | 33055-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684240 | Alina De Leon Calvo | Behavior Technician | 18001nw 47 Ct, Miami Gardens, FL 33055 | 2020-03-13 |
| 1871133124 | Yoanna Gasca | Behavior Technician | 5380 Nw 201st Terr Lot 326, Miami Gardens, FL 33055 | 2020-01-14 |
| 1477107936 | Connie Reese-walker | Social Worker | 19100 Nw 51stave, Miami Gardens, FL 33055 | 2019-08-01 |
| 1104483981 | Yordano Santos | Behavior Technician | 4528 Nw 191 St, Miami Gardens, FL 33055 | 2019-05-28 |
| 1508420985 | Jackeline Hinojosa Leonard | Behavior Technician | 17101 Nw 57th Ave Apt 215, Miami Gardens, FL 33055 | 2019-04-30 |
| 1023535788 | Ashanty S Campbell | Behavior Technician | 5319 Nw 189th St, Miami Gardens, FL 33055 | 2017-08-24 |
| 1326560988 | Gabriela Cordoba | Behavioral Analyst | 21351 Nw 39 Ave., Miami Gardens, FL 33055 | 2017-07-14 |
| 1639609449 | Ysabel Cristina Borroto Merlo | Behavior Technician | 18927 Nw 45 Ave, Miami Gardens, FL 33055 | 2017-06-14 |
| 1164956447 | Yolanda Cruz | Behavior Technician | 5146 Nw 199 Lane, Miami Gardens, FL 33055 | 2017-04-13 |
| 1689114613 | Viviana Ramirez | Behavior Technician | 18605 Nw 52nd Path, Miami Gardens, FL 33055 | 2017-02-23 |
| Find all providers in zip 33055 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700053659 | Metrocare Healthcare Systems, Inc. | Clinic/Center | 18425 Nw 2nd Ave, Suite 350g, Miami Gardens, FL 33169-4534 | 2008-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932851 | Florida State Nurse Registry | Clinic/Center | 290 Citrus Tower Blvd Ste 229, Clermont, FL 34711-2786 | 2020-11-02 |
| 1770181638 | Wise Future Group Support Services, LLC | Clinic/Center | 2307 Greenwillow Dr, Orlando, FL 32825-7572 | 2020-10-13 |
| 1467068817 | Health Coach Direct Primary Care Practice Pllc | Clinic/Center | 12300 Alternate A1a Ste 106, Palm Beach Gardens, FL 33410-2206 | 2020-09-21 |
| 1275166431 | Hope Community Mental Health Corp | Clinic/Center | 4801 Nw 7th St Apt 208, Miami, FL 33126-2142 | 2020-02-17 |
| 1598303208 | Harmony Healthcare Orlando Inc | Clinic/Center | 1400 S Orlando Ave Ste 204, Winter Park, FL 32789-5543 | 2019-12-12 |
| 1437705357 | True Care, Inc | Clinic/Center | 20451 S Tamiami Trl Ste 1, Estero, FL 33928-8101 | 2019-08-15 |
| 1730747163 | Advanced Community Mental Health Inc | Clinic/Center | 11093 Nw 138th St Unit 210, Hialeah Gardens, FL 33018-1192 | 2019-05-31 |
| 1578120440 | Impact Lives Consulting Group LLC | Clinic/Center | 11613 Sw 216th St, Miami, FL 33170-2933 | 2019-05-24 |
| 1609439140 | Behavioral Health & Wellness of South Florida | Clinic/Center | 11285 Sw 211th St # 202, Miami, FL 33189-2211 | 2019-04-19 |
| 1376037374 | Shannon M Mitchell | Clinic/Center | 3900 Max Place, Unit 101, Boynton Beach, FL 33436 | 2018-06-22 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI GARDENS |
| Zip Code | 33055 |
Please comment or provide details below to improve the information on GREATER HARVEST COMMUNITY OUTREACH LIFE CENTER.
| 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.