NPIMap

Organization Active NPI

Foundcare Inc

  • Federally Qualified Health Center (FQHC)
  • North Palm Beach, FL
National Provider Identifier
1023474244
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FOUNDCARE INC
Practice address
840 US Highway 1
Suite 120
North Palm Beach, FL 33408-3830
Phone
(561) 776-8300
Fax
(561) 776-0727
NPI assigned
Jan 4, 2016
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Christopher Francis Irizarry
Title
Ceo
Phone
(561) 432-7901

Specialties & licenses 1

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

Addresses

Primary practice location

840 US Highway 1
Suite 120
North Palm Beach, FL 33408-3830

Mailing address

2330 S Congress Ave
Palm Springs, FL 33406-7608
Phone (561) 432-5849

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091012000436 FL Part B Supplier - Clinic/Group Practice 7911043542 Receives reassigned benefits from 47 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Belle Glade, FL; West Palm Beach, FL; Palm Springs, FL; Riviera Beach, FL; Boynton Beach, FL; North Palm Beach, FL
O20160226001568 FL Part A Provider - Federally Qualified Health Center (FQHC) 7911043542 Practice locations: North Palm Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023474244. Details of each certification follow.

Federally qualified health center certification: CCN 681041

Legal name
FOUNDCARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 26, 2016
Last certification
Feb 26, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 15, 2002 in FL
Enrollment address
840 US Highway 1
Ste 120
North Palm Beach, FL 33408-3858

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Christopher Irizarry Individual Corporate DirectorPresident/Ceo Feb 1, 2022
W-2 Managing EmployeePresient/Ceo Feb 1, 2022
Stephanie Carden Individual Corporate DirectorBoard of Directors Feb 1, 2022
Mirion Ebanks Individual Corporate DirectorBoard of Directors Feb 1, 2022
David W Dodson Individual Corporate DirectorBoard of Directors Mar 1, 2010
Paul Gordon Individual Corporate DirectorBoard of Directors Jan 1, 2010
Eric Diaz Individual Corporate DirectorBoard of Directors Aug 14, 2014
Bertha Condes Individual Corporate DirectorBoard of Directors Dec 1, 2010
Moise Anglade Individual Corporate DirectorBoard of Directors Feb 1, 2022

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1023474244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 S CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067608",
            "telephone_number": "561-432-5849",
            "fax_number": "561-868-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 US HIGHWAY 1",
            "address_2": "SUITE 120",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083830",
            "telephone_number": "561-776-8300",
            "fax_number": "561-776-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-432-7901"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.