Organization Active NPI

Homestead Mental Center LLC

  • Clinic/Center
  • Homestead, FL
National Provider Identifier
1003477084
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HOMESTEAD MENTAL CENTER LLC
Practice address
704 Washington Ave
Homestead, FL 33030-6012
Phone
(786) 219-8021
NPI assigned
Jun 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Orozco
Title
Administrator
Phone
(786) 255-7935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

704 Washington Ave
Homestead, FL 33030-6012

Mailing address

704 Washington Ave
Homestead, FL 33030-6012
Phone (786) 219-8021

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1003477084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 WASHINGTON AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306012",
            "telephone_number": "786-219-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 WASHINGTON AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306012",
            "telephone_number": "786-219-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD MENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "OROZCO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-255-7935"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.