Care Resource Community Health Centers, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Wilton Manors, FL
NPI 1093717464 · NPPES record last updated Jan 24, 2025
Key facts
- NPI
- 1093717464
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- CARE RESOURCE COMMUNITY HEALTH CENTERS, INC
- Practice address
- 871 W Oakland Park Blvd
Wilton Manors, FL 33311 - Phone
- (954) 567-7141
- Fax
- (954) 565-5624
- NPI assigned
- Aug 15, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Steven Santiago, MD
- Title
- Ceo
- Phone
- (305) 576-1234
Owners & managing parties with NPI records 1
-
Steven Santiago, M.D.
Owned or controlled facilities with NPI records 2
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 8
Practitioners 36
-
Sherly Constant, LCSW,CAP
-
Scott Peter Heichman, MSN, APRN, FNP-C
-
Odiel Jean-Baptiste, M.D.
-
Alexia Montas, MD
-
Mimose Montgomery, LCSW
-
Huston Ochoa, LCSW
-
Adnan A Ayoub, APRN
-
Karell Curbelo, ARNP
-
Robert E Goubeaux, D.O.
-
John Domingo Jarin, ARNP
-
Marlene Anne Jarin, M.D.
-
Wendy Kays, ARNP
-
Kathreen Kraus, M.D.
-
Jason William Lane, M.D.
-
Yusvell Mori Gonzalez, APRN
-
Vanessa Rojas, M.D.
-
Steven Santiago, M.D.
-
Marisela Watanabe, D.O.
-
Sheryl Jeanette Zayas, D.O.
-
Ethel Maria Alvarado, LCSW
-
Victoria Baskin, M.D.
-
Celanie Ricardine Chenet, LMHC
-
Alberto Martin Hernandez, PHYSICIAN ASSISTANT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL
Federally qualified health center certification: CCN 101043
- Legal name
- CARE RESOURCE COMMUNITY HEALTH CENTERS, INC
- Doing business as
- CARE RESOURCE
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Mar 1, 2009
- Last certification
- Mar 1, 2009
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Oct 14, 1983 in FL
- Enrollment address
- 871 W Oakland Park Blvd
Wilton Manors, FL 33311-1731
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Dan Falcon |
Corporate Director | Mar 1, 2009 | |
| Anthony Hernandez |
Corporate Director | Mar 1, 2009 | |
| Sonja Smith |
Corporate Director | Mar 1, 2009 | |
| Jay Beskin |
Corporate Director | Mar 1, 2009 | |
| Dorothy a Holmes |
Corporate Director | Mar 1, 2009 | |
| George Castrataro |
Corporate Director | Mar 1, 2009 | |
| Russell Corbett |
Corporate Director | Mar 1, 2009 | |
| Ana Garcia |
Corporate Director | Mar 1, 2009 | |
| Daniel Sera |
Corporate Director | Mar 1, 2009 | |
| Steven Santiago |
Operational/Managerial Control |
Oct 1, 2024 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Care Resource Community Health Centers, Inc |
Federally qualified health center | Operational/Managerial Control | Jun 15, 2012 |
| Care Resource |
Federally qualified health center | Operational/Managerial Control | Jul 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040714000096 | FL | Part B Supplier - Clinic/Group Practice | 1658350749 |
Receives reassigned benefits from 50 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Miami, FL; Miami Beach, FL; Oakland Park, FL; Wilton Manors, FL |
| O20100128000057 | FL | Part a Provider - Federally Qualified Health Center (FQHC) | 1658350749 | Practice locations: Wilton Manors, FL |
National Provider Directory
- Tax ID family
- Community AIDS Resource Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | FL | ||
| Federally Qualified Health Center (FQHC) | 261QF0400X | FL | Yes |
Addresses
Primary practice location
871 W Oakland Park Blvd
Wilton Manors, FL 33311
Mailing address
3510 Biscayne Blvd
Miami, FL 33137-3859
Phone (305) 576-1234
Other providers in Wilton Manors, FL
- Camp 4 Health
- Katharine Marie Campbell
- Anthony Campo
- Candace Lake Ms LMHC PA
- Courtney Cantrell
- Care Resource Community Health Centers, Inc
- Care Resource Community Health Centers, Inc
- Karen Patricia Carroll
- Andre Caruso
- Catholic Charities of the Archdiocese of Miami, Inc.
All providers in Wilton Manors, FL · Federally Qualified Health Center (FQHC) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.