NPIMap

Organization Active NPI

Broward Community and Family Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Lauderhill, FL
National Provider Identifier
1013345149
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC
Practice address
1295 NW 40TH Ave
#200
Lauderhill, FL 33313
Phone
(954) 583-4710
Fax
(954) 583-4711
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Rosalyn Frazier
Title
President/Ceo
Phone
(305) 967-0028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1295 NW 40TH Ave
#200
Lauderhill, FL 33313

Mailing address

5010 Hollywood Blvd
100B
Hollywood, FL 33021-6557
Phone (954) 967-0028

Other identifiers 2

IdentifierTypeStateIssuer
680027106MedicaidFL
680027107MedicaidFL

Other names 1

  • Central BrowardCommunity Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041020000942 FL Part B Supplier - Clinic/Group Practice 9032170345 Receives reassigned benefits from 26 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Park, FL; Pompano Beach, FL; Lauderhill, FL; Hollywood, FL
O20140327000011 FL Part A Provider - Federally Qualified Health Center (FQHC) 9032170345 Practice locations: Lauderhill, FL

Federally qualified health center certification: CCN 101145

Legal name
BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC
Doing business as
CENTRAL BROWARD COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 27, 2014
Last certification
Mar 27, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 14, 1998 in FL
Enrollment address
1295 NW 40TH Ave
# 200
Lauderhill, FL 33313-5801

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Broward Community and Family Health Centers Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1295 NW 40th Ave
#201
Lauderhill, FL 33313

1295 NW 40th Ave
#200
Lauderhill, FL 33313
Phone (954) 583-4710

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lonnise Baldwin Individual Corporate DirectorBoard of Directors Jan 1, 2013
Felicia Brunson Individual Corporate DirectorBoard of Directors Jan 1, 2012
Arthur Rogers Individual Corporate DirectorBoard of Directors Nov 1, 2007
Alvin Kelly Individual Corporate DirectorBoard of Directors Jan 1, 2017
Monique Tavares Individual Corporate DirectorBoard of Directors Mar 31, 2014
Joseph Browne Individual Corporate DirectorBoard of Directors Mar 31, 2014
Suze Ernest Individual Corporate DirectorBoard of Directors Jan 1, 2015
Rosalyn Frazier Individual Corporate OfficerPresident/Ceo Jan 23, 2003 100%
Corporate DirectorPresident/Ceo Jan 23, 2003
W-2 Managing EmployeePresident/Ceo Jan 23, 2003
Fernando Miranda Individual Corporate DirectorBoard of Directors Jan 1, 2013

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1013345149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 HOLLYWOOD BLVD",
            "address_2": "100B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216557",
            "telephone_number": "954-967-0028",
            "fax_number": "959-272-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 NW 40TH AVE",
            "address_2": "#200",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-583-4710",
            "fax_number": "954-583-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "305-967-0028"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680027106",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680027107",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central BrowardCommunity Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central BrowardCommunity Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lauderhill, FL

Sources for this page

Verify at the official NPI Registry.