NPIMap

Organization Active NPI

South Florida Community Care Network, LLC

Doing business as Community Care Plan

  • Health Maintenance Organization
  • Sunrise, FL
National Provider Identifier
1083015325
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
SOUTH FLORIDA COMMUNITY CARE NETWORK, LLC
Doing business as
Community Care Plan
Practice address
1643 Harrison Pkwy Ste H-200
Sunrise, FL 33323-3091
Phone
(954) 622-3237
NPI assigned
Sep 5, 2014
Last updated
Sep 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Ms. Lupe Rivero
Title
SVP & Chief Business Dev. Officer
Phone
(954) 622-3237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X FL Primary

Addresses

Primary practice location

1643 Harrison Pkwy Ste H-200
Sunrise, FL 33323-3091

Mailing address

1643 Harrison Pkwy Ste H-200
Sunrise, FL 33323-3091
Phone (954) 622-3237

Other identifiers 1

IdentifierTypeStateIssuer
100142110MedicaidFL

Other names 1

  • Community Care Plan Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Florida Community Care Network LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Ownership & related parties

Subparts reporting this organization as parent 10

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1083015325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 HARRISON PKWY STE H-200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233091",
            "telephone_number": "954-622-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 HARRISON PKWY STE H-200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233091",
            "telephone_number": "954-622-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA COMMUNITY CARE NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "RIVERO",
        "authorized_official_first_name": "LUPE",
        "authorized_official_title_or_position": "SVP & CHIEF BUSINESS DEV. OFFICER",
        "authorized_official_telephone_number": "954-622-3237",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100142110",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Plan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.