NPIMap

Organization Active NPI

Heart of Florida Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Ocala, FL
National Provider Identifier
1093477408
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEART OF FLORIDA HEALTH CENTER, INC
Practice address
717 SW Martin Luther King Jr Ave
Ocala, FL 34471-1435
Phone
(352) 732-6599
NPI assigned
Oct 13, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Matthew Clay
Title
Ceo
Phone
(352) 732-6599

Owners & managing parties with NPI records 6

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

Owned or controlled facilities with NPI records 3

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

Other NPIs on the same Medicare enrollment 9

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

Other NPIs with the same Medicare PAC ID 6

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

Facilities with the same owner 3

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

Practitioners 32

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

View all 32

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080523000427 FL Part B Supplier - Clinic/Group Practice 1355410838 Receives reassigned benefits from 84 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ocala, FL; Reddick, FL; Dunnellon, FL; Belleview, FL
O20211223001648 FL Part A Provider - Federally Qualified Health Center (FQHC) 1355410838 1 other NPI on this enrollment
Practice locations: Ocala, FL

Federally qualified health center certification: CCN 691002

Legal name
HEART OF FLORIDA HEALTH CENTER, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 23, 2021
Last certification
Dec 23, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1991 in FL
Enrollment address
717 SW Martin Luther King Jr Ave
Ocala, FL 34471-1435

All disclosed owners & managing parties 3

Medicare enrollment files

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

NameRoleSinceShare
Heart of Florida Health Center, Inc Organization, Ocala, FL Corporation, Non-profit Operational/Managerial Control Jun 2, 2018
Dana Schultz Individual Corporate OfficerCeo Jun 2, 2018 100%
W-2 Managing EmployeeCeo Jun 2, 2018 100%
Matthew W Clay Individual Corporate OfficerCeo Jan 17, 2023
Corporate DirectorCeo Jan 17, 2023
W-2 Managing EmployeeCeo Jan 17, 2023
Operational/Managerial ControlCeo Jan 17, 2023

All facility ownership & control disclosures 3

Medicare enrollment files

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

FacilityTypeRoleSince
Heart of Florida Health Center, IncOcala, FL, CCN 681165 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 19, 1991
Heart of Florida Health Center, IncOcala, FL, CCN 691024 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 2, 2018
Heart of Florida Health Center, IncReddick, FL, CCN C11009 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 23, 2024

National Provider Directory

National Provider Directory
Tax ID family
Heart of Florida Health Center Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

717 SW Martin Luther King Jr Ave
Ocala, FL 34471-1435

Mailing address

1025 SW 1St Ave
Ocala, FL 34471-0900
Phone (352) 732-6599

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 6, 2023.

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1093477408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710900",
            "telephone_number": "352-732-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 SW MARTIN LUTHER KING JR AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711435",
            "telephone_number": "352-732-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF FLORIDA HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-732-6599"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.