Organization Active NPI

Indiheartandmind Inc

  • Nursing Care Agency
  • Sunrise, FL
National Provider Identifier
1083043830
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
INDIHEARTANDMIND INC
Practice address
7800 W Oakland Park Blvd Ste 304B
Sunrise, FL 33351-6741
Phone
(754) 457-0700
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Mr. Ayinde Reid, LCSWNPI 1639587769
Title
President
Phone
(754) 457-0700

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW12105 FL
Case Management Agency 251B00000X
Nursing Care Agency 251J00000X Primary
Community/Behavioral Health Agency 251S00000X
Physical Therapy Clinic/Center 261QP2000X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

7800 W Oakland Park Blvd Ste 304B
Sunrise, FL 33351-6741

Mailing address

7154 N University Dr # 411
Tamarac, FL 33321-2916
Phone (754) 457-0700

Other identifiers 4

IdentifierTypeStateIssuer
024003000MedicaidFL
107309900MedicaidFL
018922500MedicaidFL
019228100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141215002076 FL Part B Supplier - Clinic/Group Practice 4981927373 Receives reassigned benefits from 1 practitioner
Practice locations: Sunrise, FL

National Provider Directory

National Provider Directory

Locations

1133 SE 4th Ave
Fort Lauderdale, FL 33316
Phone 5614041422101

7800 W Oakland Park Blvd
Ste B304
Sunrise, FL 33351
Phone (754) 457-0700

7800 W Oakland Park Blvd
Ste 304B
Sunrise, FL 33351
Phone (754) 457-0700

Networks

  • HealthSun Health Plans Network

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": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1083043830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7154 N UNIVERSITY DR # 411",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212916",
            "telephone_number": "754-457-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 W OAKLAND PARK BLVD STE 304B",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516741",
            "telephone_number": "754-457-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIHEARTANDMIND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "AYINDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-457-0700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12105",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024003000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107309900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018922500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019228100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.