Organization Active NPI

Laracuente Healthcare Associates

  • Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
  • Hallandale Beach, FL
National Provider Identifier
1184397606
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0810X
Legal business name
LARACUENTE HEALTHCARE ASSOCIATES
Practice address
1250 E Hallandale Beach Blvd Ste 1004
Hallandale Beach, FL 33009-4636
Phone
(954) 451-1743
Fax
(954) 838-5336
NPI assigned
Jul 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Dr. Fernando Alfredo Laracuente, PMHNP-BC, FNP-BCNPI 1407378128
Title
Clinic Director
Phone
(954) 451-1743

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0810X Primary

Addresses

Primary practice location

1250 E Hallandale Beach Blvd Ste 1004
Hallandale Beach, FL 33009-4636

Mailing address

1250 E Hallandale Beach Blvd Ste 1004
Hallandale Beach, FL 33009-4636
Phone (954) 451-1743

Other identifiers 2

IdentifierTypeStateIssuer
112571000MedicaidFL
11094077MedicaidFL

Other names 1

  • LHA CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210901002521 FL Part B Supplier - Clinic/Group Practice 2769888627 Receives reassigned benefits from 1 practitioner
Practice locations: Hallandale Beach, FL

National Provider Directory

National Provider Directory

Locations

1250 E Hallandale Beach Blvd
Ste 1004
Hallandale Beach, FL 33009
Phone (954) 451-1743

3800 S Ocean Dr
Ste 100
Hollywood, FL 33019

Practitioners & affiliated clinicians

Practitioners 3

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": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1184397606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD STE 1004",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094636",
            "telephone_number": "954-451-1743",
            "fax_number": "954-838-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD STE 1004",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094636",
            "telephone_number": "954-451-1743",
            "fax_number": "954-838-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARACUENTE HEALTHCARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "LARACUENTE",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "ALFREDO",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "954-451-1743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PMHNP-BC, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0810X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112571000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11094077",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LHA CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.

Verify at the official NPI Registry.