Active NPI
Providence Community Health LLC
- Nurse Practitioner
- Palm Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- PROVIDENCE COMMUNITY HEALTH LLC
- Practice address
- 2150 S Congress Ave
Palm Springs, FL 33406-7604 - Phone
- (561) 515-7759
- Fax
- (561) 833-1101
- NPI assigned
- Nov 16, 2021
- Last updated
- Jul 31, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Saul Ernest, APRN
- Title
- Owner
- Phone
- (561) 515-7759
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
2150 S Congress Ave
Palm Springs, FL 33406-7604
Mailing address
2150 S Congress Ave
Palm Springs, FL 33406-7604
Phone (561) 515-7759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2242819 | Providence Community Health, LLC | Certificate of waiver | Nov 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
2150 S Congress Ave
Palm Springs, FL 33406
Phone (561) 508-7066
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Nurse Practitioner
- Miramar, FL
- NPI 1174975684
-
- General Practice Physician
- Margate, FL
- NPI 1356311922
-
- Family Nurse Practitioner
- Riverview, FL
- NPI 1124707898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753920000000",
"number": "1093471815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 S CONGRESS AVE",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334067604",
"telephone_number": "561-515-7759",
"fax_number": "561-833-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 S CONGRESS AVE",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334067604",
"telephone_number": "561-515-7759",
"fax_number": "561-833-1101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVIDENCE COMMUNITY HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-16",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A",
"authorized_official_last_name": "ERNEST",
"authorized_official_first_name": "SAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-515-7759",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, FL
- Prime Care of Palm Beach P.L.
- Prime Pediatric Dental Group PA
- Proficient Healthcare Staffing LLC (Proficient Care)
- Promed Healthcare Center LLC
- Joyce L Prophete, M.D.
- Publix Super Markets Inc (Publix Pharmacy #0055)
- Maria De Los Angeles Pupo
- Michael Purificati, D.C.
- Quality Care & Health Solutions
- Amanda Quintana Alba
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.