Health Care Center for the Homeless Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

HEALTH CARE CENTER FOR THE HOMELESS INC

Doing business as

Orange Blossom Family Health Center

Practice address

9833 E Colonial Dr
Orlando, FL 32817-4206

Phone

(407) 428-5751

Fax

(407) 428-6204

NPI assigned

Jul 16, 2015

Last updated

Aug 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bakari F Burns

Title

President/Ceo

Phone

(407) 428-5751

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Orange Blossom Family Health Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104200492. Details of each certification follow.

• CCN 681032 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 681032

Legal name

ORANGE BLOSSOM FAMILY HEALTH CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 4, 2015

Last certification

Dec 4, 2015

Ownership / control type

For profit – corporation

Facility address

9833 E Colonial Drive
Orlando, FL 32817

Locations

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1104200492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 N ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051612",
            "telephone_number": "407-428-5751",
            "fax_number": "407-428-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9833 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174206",
            "telephone_number": "407-428-5751",
            "fax_number": "407-428-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE CENTER FOR THE HOMELESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "BAKARI",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "407-428-5751"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687429116",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687429117",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange Blossom Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Health and Recovery Institute of Central Florida
• Health and Rehab of America Inc
• Health and Wellness Clinic of S Orlando, Inc
• Health Care 4 All Inc
• Health Care Center for the Homeless Inc (Orange Blossom Pediatrics)
• Health Care Center for the Homeless Inc (Orange Blossom Family Health Center)
• Health Care Center for the Homeless Inc (Orange Blossom Family Health Center)
• Health Care Center for the Homeless Inc (Orange Blossom Family Health Center)
• Health Care Center for the Homeless Inc (Orange Blossom Framily Health Center)
• Health Care Center for the Homeless Inc (Orange Blossom Family Health Center)

• Federally Qualified Health Center (FQHC) in Orlando, FL
• Providers in Orlando, FL by specialty
• Federally Qualified Health Center (FQHC) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.