Active NPI
Multicare Community Services, Inc
- Health Service Clinic/Center
- Doral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- MULTICARE COMMUNITY SERVICES, INC
- Practice address
- 4055 NW 97TH Avenue.
Suite 105
Doral, FL 33178 - Phone
- (786) 618-5368
- Fax
- (786) 725-4312
- NPI assigned
- Nov 6, 2020
- 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
- Amanda Maria Cruz
- Title
- Pharmacist
- Phone
- (786) 618-5368
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary | ||
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Pharmacy | 333600000X |
Addresses
Primary practice location
4055 NW 97TH Avenue.
Suite 105
Doral, FL 33178
Mailing address
2423 SW 147TH Avenue
#369
Miami, FL 33185
Phone (786) 618-5368
Other practice location 1
660 S Federal Hwy Ste 100
Pompano Beach, FL 33062-5944
Phone (305) 322-0260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240124003034 | FL | Part B Supplier - Clinic/Group Practice | 8325491574 |
Receives reassigned benefits from 3 practitioners Practice locations: Doral, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2222254 | Multicare Community Services Inc | Certificate of waiver | Apr 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
4055 NW 97th Ave
Ste 105
Doral, FL 33178
Phone (305) 205-5017
8181 NW 36th St
Ste 2324
Doral, FL 33166
Phone (305) 793-6415
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Doral, FL
- NPI 1457134074
-
- Family Nurse Practitioner
- Doral, FL
- NPI 1841821212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693353600000",
"number": "1053912832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2423 SW 147TH AVENUE",
"address_2": "#369",
"city": "MIAMI",
"state": "FL",
"postal_code": "33185",
"telephone_number": "786-618-5368",
"fax_number": "786-725-4312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 NW 97TH AVENUE.",
"address_2": "SUITE 105",
"city": "DORAL",
"state": "FL",
"postal_code": "33178",
"telephone_number": "786-618-5368",
"fax_number": "786-725-4312"
}
],
"practiceLocations": [
{
"address_1": "660 S Federal Hwy Ste 100",
"address_purpose": "LOCATION",
"city": "Pompano Beach",
"state": "FL",
"postal_code": "330625944",
"country_code": "US",
"telephone_number": "305-322-0260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MULTICARE COMMUNITY SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-06",
"last_updated": "2023-08-30",
"certification_date": "2023-08-24",
"status": "A",
"authorized_official_last_name": "CRUZ",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "786-618-5368"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.