NPIMap

Organization Active NPI

Quality of Life Servicing Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Lauderdale, FL
National Provider Identifier
1235697830
Registry record updated Jul 2, 2026
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
QUALITY OF LIFE SERVICING CORP
Practice address
4101 Ravenswood Rd Ste 205
Fort Lauderdale, FL 33312-5301
Phone
(786) 953-6729
Fax
(786) 353-2349
NPI assigned
Mar 4, 2019
Last updated
Jul 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Ariadna Gonzalez Bermudez, CBHCMNPI 1013419183
Title
President and Executive Director
Phone
(786) 304-7731

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
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4101 Ravenswood Rd Ste 205
Fort Lauderdale, FL 33312-5301

Mailing address

4101 Ravenswood Rd Ste 205
Fort Lauderdale, FL 33312-5301
Phone (869) 536-7297

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210126001658 FL Part B Supplier - Clinic/Group Practice 5597179978 Receives reassigned benefits from 8 practitioners
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

4101 Ravenswood Rd
Ste 205
Fort Lauderdale, FL 33312
Phone (786) 953-6729

13117 NW 42nd Ave
Opa Locka, FL 33054
Phone (786) 304-7731

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1235697830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 RAVENSWOOD RD STE 205",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125301",
            "telephone_number": "869-536-7297",
            "fax_number": "786-353-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 RAVENSWOOD RD STE 205",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125301",
            "telephone_number": "786-953-6729",
            "fax_number": "786-353-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY OF LIFE SERVICING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ BERMUDEZ",
        "authorized_official_first_name": "ARIADNA",
        "authorized_official_title_or_position": "PRESIDENT AND EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "786-304-7731",
        "authorized_official_credential": "CBHCM"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.