Providence Community Health LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

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

Organization subpart

No

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

Authorized official

Name

Saul Ernest, APRNNPI 1174975684

Title

Owner

Phone

(561) 515-7759

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Saul Ernest, ARNP, NP-C

  • Nurse Practitioner
  • Miramar, FL
  • NPI 1174975684

  FL

  Medicare reassignment Authorized official
• Alphonse Giloux Dufreny, MD

  • General Practice Physician
  • Margate, FL
  • NPI 1356311922

  FL

  Medicare reassignment NPD
• Rose Marie Ernest Roge, NP

  • Family Nurse Practitioner
  • Riverview, FL
  • NPI 1124707898

  FL

  Medicare reassignment NPD

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": []
}

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• All providers in Palm Springs, FL
• Nurse Practitioner in Florida

• 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.

Verify at the official NPI Registry.