Active NPI
Benjamin Community Health Center Inc
- Community/Behavioral Health Agency
- Hollywood, FL
National Provider Identifier
1114805165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BENJAMIN COMMUNITY HEALTH CENTER INC
- Practice address
- 3939 Hollywood Blvd Ste 1B
Hollywood, FL 33021-6749 - Phone
- (954) 251-0267
- Fax
- (954) 239-7987
- NPI assigned
- Aug 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ilnise Mathieu
- Title
- Office Manager
- Phone
- (954) 251-0267
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Clinic/Center | 261Q00000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
3939 Hollywood Blvd Ste 1B
Hollywood, FL 33021-6749
Mailing address
3939 Hollywood Blvd Ste 1B
Hollywood, FL 33021-6749
Phone (954) 251-0267
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Hollywood, FL
- NPI 1831178706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756425600000",
"number": "1114805165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3939 HOLLYWOOD BLVD STE 1B",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216749",
"telephone_number": "954-251-0267",
"fax_number": "954-239-7987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 HOLLYWOOD BLVD STE 1B",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216749",
"telephone_number": "954-251-0267",
"fax_number": "954-239-7987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENJAMIN COMMUNITY HEALTH CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-26",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A",
"authorized_official_last_name": "MATHIEU",
"authorized_official_first_name": "ILNISE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "954-251-0267"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.