NPIMap

Organization Active NPI

Alina Health Medical Center Corp.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lauderdale Lakes, FL
National Provider Identifier
1194459297
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ALINA HEALTH MEDICAL CENTER CORP.
Practice address
4800 N State Road 7 Ste a
Lauderdale Lakes, FL 33319-5811
Phone
(954) 884-5859
NPI assigned
Jul 13, 2022
Last updated
Jul 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Gravil JosephNPI 1164960720
Title
Ceo
Phone
(352) 602-7924

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

4800 N State Road 7 Ste a
Lauderdale Lakes, FL 33319-5811

Mailing address

4800 N State Road 7 Ste a
Lauderdale Lakes, FL 33319-5811
Phone (954) 884-5859

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220316000743 FL Part B Supplier - Clinic/Group Practice 7517352214 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lauderdale Lakes, FL

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1194459297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N STATE ROAD 7 STE A",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195811",
            "telephone_number": "954-884-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N STATE ROAD 7 STE A",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195811",
            "telephone_number": "954-884-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALINA HEALTH MEDICAL CENTER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "GRAVIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-602-7924"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.