NPIMap

Organization Active NPI

MCR Health, Inc.

Doing business as Health and Wellness Land O'Lakes

  • Federally Qualified Health Center (FQHC)
  • Land O' Lakes, FL
National Provider Identifier
1194323717
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MCR HEALTH, INC.
Doing business as
Health and Wellness Land O'Lakes
Practice address
20360 Gator LN BLDG 14
Land O Lakes, FL 34638-2802
Phone
(888) 644-1448
NPI assigned
Oct 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Melvin B Price
Title
President & Ceo
Phone
(941) 776-4000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

20360 Gator LN BLDG 14
Land O Lakes, FL 34638-2802

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000

Other names 1

  • Health and Wellness Land O'Lakes Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194323717. Details of each certification follow.

  • CCN 681162 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 681162

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MCR HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 13, 2001
Last certification
Nov 13, 2001
Ownership / control type
For profit – partnership
Facility address
20360 Gator Lane, BLDG. 14
Land O Lakes, FL 34638

National Provider Directory

National Provider Directory
Tax ID family
Manatee County Rur HLT130 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1194323717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058812",
            "telephone_number": "941-776-4000",
            "fax_number": "941-845-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20360 GATOR LN BLDG 14",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346382802",
            "telephone_number": "888-644-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCR HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "941-776-4000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "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": [
        {
            "organization_name": "Health and Wellness Land O'Lakes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health and Wellness Land O'Lakes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Land O' Lakes, FL

Sources for this page

Verify at the official NPI Registry.