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
Last updated
Feb 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

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

Specialties & licenses 1

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

Addresses

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

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093477408. Details of each certification follow.

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

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 9

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

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

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
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

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 3

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

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 3

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

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.

NPI Registry JSON

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

{
    "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.