Organization Active NPI

Ohana Medical Center, LLC

  • Multi-Specialty Clinic/Center
  • Homestead, FL
National Provider Identifier
1073403119
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
OHANA MEDICAL CENTER, LLC
Practice address
190 NW 14TH St
Homestead, FL 33030-4240
Phone
(786) 404-3442
Fax
(786) 404-3104
NPI assigned
Jul 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Ludmila De la Concepcion, MD
Title
Medical Director
Phone
(786) 404-3442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

190 NW 14TH St
Homestead, FL 33030-4240

Mailing address

190 NW 14TH St
Homestead, FL 33030-4240
Phone (786) 404-3442

National Provider Directory

National Provider Directory

Locations

190 NW 14th St
Homestead, FL 33030
Phone (786) 404-3442

Practitioners & affiliated clinicians

Practitioners 1

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": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1073403119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 NW 14TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304240",
            "telephone_number": "786-404-3442",
            "fax_number": "786-404-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 NW 14TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304240",
            "telephone_number": "786-404-3442",
            "fax_number": "786-404-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "DE LA CONCEPCION",
        "authorized_official_first_name": "LUDMILA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "786-404-3442",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "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 Jul 9, 2025; 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.