Organization Active NPI

Social Advance Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Florida City, FL
National Provider Identifier
1093272296
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOCIAL ADVANCE CORP
Doing business as
ADVANCE MENTAL HEALTH COMMUNITY
Practice address
640 W Palm Dr Ste D
Florida City, FL 33034-3237
Phone
(786) 610-8167
NPI assigned
Feb 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Annia M Perez, CBHCMSNPI 1801499967
Title
President
Phone
(786) 610-8167

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

640 W Palm Dr Ste D
Florida City, FL 33034-3237

Mailing address

640 W Palm Dr Ste D
Florida City, FL 33034-3237
Phone (786) 610-8167

Other practice location 1

15600 SW 288th St Ste 405B
Homestead, FL 33033-1223
Phone (786) 601-7757

Other names 1

  • ADVANCE MENTAL HEALTH COMMUNITY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210816003001 FL Part B Supplier - Clinic/Group Practice 2466857305 Receives reassigned benefits from 7 practitioners
Practice locations: Florida City, FL

National Provider Directory

National Provider Directory

Locations

640 W Palm Dr
Ste D
Homestead, FL 33034
Phone (786) 410-8922

Practitioners & affiliated clinicians

Practitioners 11

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": "1550880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1093272296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 W PALM DR STE D",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330343237",
            "telephone_number": "786-610-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W PALM DR STE D",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330343237",
            "telephone_number": "786-610-8167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15600 SW 288th St Ste 405B",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330331223",
            "country_code": "US",
            "telephone_number": "786-601-7757",
            "fax_number": "786-601-7758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOCIAL ADVANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ANNIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-610-8167",
        "authorized_official_credential": "CBHCMS"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCE MENTAL HEALTH COMMUNITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florida City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.