NPIMap

Organization Active NPI

Healthpoint Family Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Florence, KY
National Provider Identifier
1104128487
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
700024 Issued in KY
Legal business name
HEALTHPOINT FAMILY CARE, INC.
Practice address
7607 Dixie Hwy
Florence, KY 41042-2689
Phone
(859) 655-6100
Fax
(859) 655-6148
NPI assigned
Nov 19, 2010
Last updated
Oct 29, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHPOINT FAMILY CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Sally Sprinkle-Jordan
Title
Ceo
Phone
(859) 655-6127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 700024 KY Primary

Addresses

Primary practice location

7607 Dixie Hwy
Florence, KY 41042-2689

Mailing address

215 E 11TH St
Covington, KY 41011-3215
Phone (859) 655-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130227000016 KY Part A Provider - Federally Qualified Health Center (FQHC) 9638089642 Practice locations: Florence, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104128487. Details of each certification follow.

Federally qualified health center certification: CCN 181901

Legal name
HEALTHPOINT FAMILY CARE, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 27, 2013
Last certification
Feb 27, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 21, 1988 in KY
Enrollment address
7607 Dixie Highway
Florence, KY 41042-1382

Other NPIs with the same Medicare PAC ID 7

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2016263Healthpoint Family Care7607 Dixie Highway, Florence, KY 41042Provider-performed microscopyNov 15, 2026

National Provider Directory

National Provider Directory
Tax ID family
Dayton Medical Center8 organizations share this tax ID, including this one
Part of
Dayton Medical Center

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Robert Smith Individual Corporate DirectorBoard Member Dec 1, 2010
Wilma Anthony Individual Corporate DirectorBoard Member Dec 21, 2019
David F Lowe Individual Corporate OfficerChief Medical Officer Jan 1, 2018
Mark Palazzo Individual Corporate DirectorBoard Member Dec 1, 2010
Robert Schrichte Individual Corporate DirectorBoard Member Jan 1, 2015
Kim Dinsey-Read Individual Corporate DirectorBoard Member Jan 1, 2022
Noel Harilson Individual Corporate DirectorBoard Member Jan 1, 2022
Mary Hernandez Individual Corporate DirectorBoard Member Dec 1, 2010
Pamela Smallwood Individual Corporate OfficerChief Operations Officer Mar 27, 1995
Operational/Managerial ControlChief Operations Officer Mar 27, 1995
Scott Malof Individual Corporate DirectorBoard Member Jan 1, 2015
Angela Brandford Individual Corporate DirectorBoard Member Jan 1, 2023
Robin Feltner Individual Corporate DirectorBoard Member Jan 1, 2023
Sally Sprinkle-Jordan Individual Corporate OfficerChief Executive Officer May 31, 2019
Dennis Fabiani Individual Corporate DirectorBoard Member Dec 1, 2010

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1104128487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 11TH ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113215",
            "telephone_number": "859-655-6100",
            "fax_number": "859-655-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7607 DIXIE HWY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422689",
            "telephone_number": "859-655-6100",
            "fax_number": "859-655-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPOINT FAMILY CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHPOINT FAMILY CARE, INC.",
        "enumeration_date": "2010-11-19",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "SPRINKLE-JORDAN",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-655-6127"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "KY",
            "license": "700024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.