Active NPI
Laracuente Healthcare Associates
- Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
- Hallandale Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
- 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
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-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Child & Family Psychiatric/Mental Health Clinical Nurse Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112571000 | Medicaid | FL | |
| 11094077 | Medicaid | FL |
Other names 1
- LHA CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
- Hallandale Beach, FL
- NPI 1407378128
-
- General Practice Physician
- Sanford, FL
- NPI 1801848478
-
- Psychiatric/Mental Health Nurse Practitioner
- NPI 1003594144
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.