Active NPI
Healthy Community Center LLC
- Community/Behavioral Health Agency
- Cape Coral, FL
National Provider Identifier
1023609872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- HEALTHY COMMUNITY CENTER LLC
- Practice address
- 506 SE 47TH Ter Ste B
Cape Coral, FL 33904-8593 - Phone
- (239) 673-9825
- Fax
- (239) 257-2326
- NPI assigned
- Feb 2, 2021
- Last updated
- Jan 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeff Garcia
- Title
- President
- Phone
- (305) 989-1837
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
506 SE 47TH Ter Ste B
Cape Coral, FL 33904-8593
Mailing address
506 SE 47TH Ter Ste B
Cape Coral, FL 33904-8593
Phone (239) 673-9825
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109423000 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 1023609872 | Direct |
National Provider Directory
National Provider DirectoryLocations
2804 Del Prado Blvd S
Ste 103
Cape Coral, FL 33904
Phone (239) 673-9825
Interoperability endpoints
- https://api.platform.athenahealth.com/25746/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705363200000",
"number": "1023609872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 SE 47TH TER STE B",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339048593",
"telephone_number": "239-673-9825",
"fax_number": "239-257-2326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 SE 47TH TER STE B",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339048593",
"telephone_number": "239-673-9825",
"fax_number": "239-257-2326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY COMMUNITY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-02",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-989-1837"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109423000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "1023609872",
"affiliation": "N",
"endpointDescription": "MENTAL HEALTH/ MEDICAL CENTER",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "506 SE 47th Ter Ste B",
"city": "Cape Coral",
"state": "FL",
"country_code": "US",
"postal_code": "339048593",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.