Active NPI
Psychosocial Rehabilitation Center Inc
Doing business as Fellowship House
- Community/Behavioral Health Agency
- South Miami, FL
National Provider Identifier
1174526743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PSYCHOSOCIAL REHABILITATION CENTER INC
- Doing business as
- Fellowship House
- Practice address
- 5711 S Dixie Hwy
South Miami, FL 33143-3602 - Phone
- (305) 667-1036
- Fax
- (305) 667-4938
- NPI assigned
- May 27, 2005
- Last updated
- Apr 4, 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
- Rosemary Juliana Smith Hoel
- Title
- President and
- Phone
- (305) 667-1036
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | FL | ||
| Community/Behavioral Health Agency | 251S00000X | FL | Primary |
Addresses
Primary practice location
5711 S Dixie Hwy
South Miami, FL 33143-3602
Mailing address
5711 S Dixie Hwy
South Miami, FL 33143-3602
Phone (305) 667-1036
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060333300 | Medicaid | FL | |
| 141562000 | Medicaid | FL | |
| 060333302 | Medicaid | FL | |
| 060333317 | Medicaid | FL | |
| 060333301 | Medicaid | FL |
Other names 1
- Fellowship House
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Fellowship House
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Fellowship House
- Community/Behavioral Health Agency
- Palmetto Bay, FL
- NPI 1255005658
Locations
9825 E Hibiscus St
Palmetto Bay, FL 33157
Phone (305) 667-1036
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- North Miami, FL
- NPI 1962510073
-
- Psychiatry Physician
- South Miami, FL
- NPI 1942350236
-
- Mental Health Counselor
- South Miami, FL
- NPI 1275692451
-
- Psychiatric/Mental Health Nurse Practitioner
- Coral Springs, FL
- NPI 1356819007
-
- Case Manager/Care Coordinator
- Palmetto Bay, FL
- NPI 1447787791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743724800000",
"number": "1174526743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5711 S DIXIE HWY",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331433602",
"telephone_number": "305-667-1036",
"fax_number": "305-667-4938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5711 S DIXIE HWY",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331433602",
"telephone_number": "305-667-1036",
"fax_number": "305-667-4938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHOSOCIAL REHABILITATION CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-27",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A",
"authorized_official_last_name": "SMITH HOEL",
"authorized_official_first_name": "ROSEMARY",
"authorized_official_middle_name": "JULIANA",
"authorized_official_title_or_position": "PRESIDENT AND",
"authorized_official_telephone_number": "305-667-1036"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060333300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141562000",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060333302",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060333317",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060333301",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fellowship House",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in South Miami, FL
- Project Access Foundation Inc
- Andre Patrick Prophete
- Psychiatric Equilibrium Inc
- Psychiatry & Psychotherapy of Florida
- Psychological Specialists PA
- Psychotherapy Solutions, Inc.
- Psyctravel LLC
- Public Health Trust of Dade County Florida (JMG Specialty Physicians)
- Public Health Trust of Miami Dade County Florida (Rosie Lee Wesley Health Center)
- Gabriela Puentes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.