NPIMap

Organization Active NPI

Central Florida Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Mulberry, FL
National Provider Identifier
1093531923
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTRAL FLORIDA HEALTH CARE, INC
Practice address
1010 N Church Ave
Mulberry, FL 33860-2040
Phone
(866) 234-8534
NPI assigned
Nov 25, 2024
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL FLORIDA HEALTH CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Ann Claussen
Title
Ceo
Phone
(863) 291-5110

Specialties & licenses 1

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

Addresses

Primary practice location

1010 N Church Ave
Mulberry, FL 33860-2040

Mailing address

47 5TH St NW
Winter Haven, FL 33881-4672
Phone (866) 234-8534

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260326003775 FL Part A Provider - Federally Qualified Health Center (FQHC) 0143127951 Practice locations: Mulberry, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093531923. Details of each certification follow.

Federally qualified health center certification: CCN C11078

Legal name
CENTRAL FLORIDA HEALTH CARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 18, 2026
Last certification
Mar 18, 2026
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
1010 N Church Ave
Mulberry, FL 33860-2040

Other NPIs with the same Medicare PAC ID 17

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

View all 17

National Provider Directory

National Provider Directory
Tax ID family
Central Florida Health Care Inc87 organizations share this tax ID, including this one
Part of
Central Florida Health Care Inc

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Jennings Brinson Individual Corporate Director Aug 11, 2017
Tina Solomon Individual Corporate Officer Apr 15, 2019
Cara Roseanne Nelson-James Individual Corporate Officer Dec 1, 2019
Nicholas a Emanuel Individual Corporate Director May 27, 2008
Beth Luxford Individual Corporate Director Apr 3, 2023
Ann M Claussen Individual Corporate OfficerCeo Jan 1, 2014
W-2 Managing EmployeeCeo Jan 1, 2014
Operational/Managerial ControlCeo Jan 1, 2014
Lawrence Best Individual Corporate Officer Jul 25, 2017
Andrew N Hein Individual Corporate Officer Jul 1, 2012
Barbara Turner Individual Corporate Officer May 5, 2014
Nasseam McPherson James Individual Corporate Director Jun 21, 2016
Philip Kenney Individual Corporate Officer Jan 11, 2016

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
Central Florida Health Care, Inc.-FrostproofFrostproof, FL, CCN 101851 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 1, 1994
Central Florida Health Care IncWinter Haven, FL, CCN 681068 Federally qualified health center 5% Or Greater Direct Ownership Interest Sep 30, 2016
Central Florida Health Care IncDundee, FL, CCN 681065 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 1, 2020
Central Florida Health Care IncLake Wales, FL, CCN 681066 Federally qualified health center 5% Or Greater Direct Ownership Interest Aug 1, 2016
Central Florida Health Care IncLakeland, FL, CCN 681178 Federally qualified health center 5% Or Greater Direct Ownership Interest May 11, 2020
Central Florida Health Care IncDavenport, FL, CCN 691010 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2022
Central Florida Health Care IncBartow, FL, CCN C11021 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 2, 2024

Owned or controlled facilities with NPI records 8

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

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1093531923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 5TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814672",
            "telephone_number": "866-234-8534",
            "fax_number": "863-837-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N CHURCH AVE",
            "city": "MULBERRY",
            "state": "FL",
            "postal_code": "338602040",
            "telephone_number": "866-234-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA HEALTH CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL FLORIDA HEALTH CARE, INC",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "CLAUSSEN",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-291-5110"
    },
    "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 Mulberry, FL

Sources for this page

Verify at the official NPI Registry.