Organization Active NPI

Bhealthy Community Center LLC

  • Community/Behavioral Health Agency
  • Doral, FL
National Provider Identifier
1225614001
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BHEALTHY COMMUNITY CENTER LLC
Practice address
11402 NW 41St St Ste 222
Doral, FL 33178-4861
Phone
(305) 539-0820
Fax
(305) 539-0903
NPI assigned
Mar 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Adys Betancourt
Title
Ambr
Phone
(305) 608-8139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11402 NW 41St St Ste 222
Doral, FL 33178-4861

Mailing address

11402 NW 41St St Ste 222
Doral, FL 33178-4861
Phone (305) 539-0820

National Provider Directory

National Provider Directory

Locations

11402 NW 41st St
Ste 222
Doral, FL 33178
Phone (305) 539-0820

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1225614001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11402 NW 41ST ST STE 222",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784861",
            "telephone_number": "305-539-0820",
            "fax_number": "305-539-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11402 NW 41ST ST STE 222",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784861",
            "telephone_number": "305-539-0820",
            "fax_number": "305-539-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHEALTHY COMMUNITY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "ADYS",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "305-608-8139"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.