NPIMap

Organization Active NPI

Foundcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Boynton Beach, FL
National Provider Identifier
1124751003
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FOUNDCARE, INC.
Practice address
1901 S Congress Ave Ste 100
Boynton Beach, FL 33426-6556
Phone
(561) 274-6400
Fax
(561) 274-3912
NPI assigned
Jul 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Christopher Francis Irizarry
Title
Ceo
Phone
(561) 432-7901

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1901 S Congress Ave Ste 100
Boynton Beach, FL 33426-6556

Mailing address

2330 S Congress Ave
West Palm Beach, FL 33406-7608
Phone (561) 432-5849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091012000436 FL Part B Supplier - Clinic/Group Practice 7911043542 Receives reassigned benefits from 47 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Belle Glade, FL; West Palm Beach, FL; Palm Springs, FL; Riviera Beach, FL; Boynton Beach, FL; North Palm Beach, FL
O20241031003776 FL Part A Provider - Federally Qualified Health Center (FQHC) 7911043542 Practice locations: Boynton Beach, FL

Federally qualified health center certification: CCN C11042

Legal name
FOUNDCARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 22, 2024
Last certification
Oct 22, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1901 S Congress Ave
Ste 100
Boynton Beach, FL 33426-6556

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Foundcare Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

1901 S Congress Ave
Ste 100
Boynton Beach, FL 33426
Phone (561) 274-6400

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Christopher Irizarry Individual Corporate OfficerPresident/Ceo Feb 1, 2022
Corporate DirectorPresident/Ceo Feb 1, 2022
W-2 Managing EmployeeAd; Feb 1, 2022
Stephanie Carden Individual Corporate DirectorDirector/Officer Dec 12, 2019
Mirion Ebanks Individual Corporate DirectorDirector/Officer Feb 1, 2020
David W Dodson Individual Corporate DirectorDirector/Officer Mar 1, 2010
Paul Gordon Individual Corporate DirectorDirector/Officer Jan 1, 2010
Marcia Howard Individual Corporate DirectorDirector/Officer Dec 10, 2019
Eric Diaz Individual Corporate DirectorDirector/Officer Aug 14, 2014
Bertha Condes Individual Corporate DirectorDirector/Officer Dec 1, 2010
Moise Anglade Individual Corporate OfficerDirector/Officer Oct 11, 2018
Corporate DirectorDirector/Officer Oct 11, 2018

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1124751003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 S CONGRESS AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067608",
            "telephone_number": "561-432-5849",
            "fax_number": "561-432-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S CONGRESS AVE STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266556",
            "telephone_number": "561-274-6400",
            "fax_number": "561-274-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-432-7901"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.