NPIMap

Organization Active NPI

Care Resource Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami Beach, FL
National Provider Identifier
1083606495
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CARE RESOURCE COMMUNITY HEALTH CENTERS, INC.
Practice address
1680 Michigan Ave Ste 912
Miami Beach, FL 33139
Phone
(305) 576-1234
NPI assigned
Aug 22, 2005
Last updated
Jan 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Dr. Steven Santiago, MDNPI 1316080682
Title
Ceo
Phone
(305) 576-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1680 Michigan Ave Ste 912
Miami Beach, FL 33139

Mailing address

3510 Biscayne Blvd
Miami, FL 33137-3859
Phone (305) 576-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040714000096 FL Part B Supplier - Clinic/Group Practice 1658350749 Receives reassigned benefits from 50 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Miami, FL; Miami Beach, FL; Oakland Park, FL; Wilton Manors, FL
O20171226000081 FL Part A Provider - Federally Qualified Health Center (FQHC) 1658350749 Practice locations: Miami Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083606495. Details of each certification follow.

Federally qualified health center certification: CCN 681118

Legal name
CARE RESOURCE COMMUNITY HEALTH CENTERS, INC
Doing business as
CARE RESOURCE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 11, 2018
Last certification
Jan 11, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 25, 1998 in FL
Enrollment address
1680 Michigan Ave, Ste 912
Miami Beach, FL 33139-2550

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Community AIDS Resource Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Care Resource Community Health Centers, Inc Organization, Miami, FL Non-profit Operational/Managerial Control Jul 1, 2017
Russell Corbett Individual Corporate Officer Apr 24, 2014
Steven Santiago Individual Operational/Managerial ControlCeo Oct 1, 2024

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Care Resource Community Health Centers, IncMiami, FL, CCN 681010 Federally qualified health center Operational/Managerial Control Jun 15, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1083606495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 BISCAYNE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373859",
            "telephone_number": "305-576-1234",
            "fax_number": "305-571-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 MICHIGAN AVE STE 912",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33139",
            "telephone_number": "305-576-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE RESOURCE COMMUNITY HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-576-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.