Whole Family Health Center, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Vero Beach, FL
NPI 1255007100 · NPPES record last updated May 25, 2023
Key facts
- NPI
- 1255007100
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- WHOLE FAMILY HEALTH CENTER, INC.
- Practice address
- 1255 37TH St Ste C
Vero Beach, FL 32960-6550 - Phone
- (772) 494-1770
- Fax
- (772) 494-1774
- NPI assigned
- Aug 20, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- WHOLE FAMILY HEALTH CENTER, INC.
Authorized official
- Name
- Marie Andress
- Title
- Chief Executive Officer
- Phone
- (772) 925-8200
Owners & managing parties with NPI records 7
Owned or controlled facilities with NPI records 3
Other NPIs on the same Medicare enrollment 6
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 10
Facilities with the same owner 3
Practitioners 31
-
Fatima Shakoor Baloch, PA-C
-
Jean Claudel Charles, DNP, FNP-C
-
Mirialys Regueira Perez, APRN, FNP-C
-
Justine Ann Foxwell, APRN, FNP-C
-
Melody Blum, APRN, FNP-C
-
Juliana Christine Elliott, APRN, FNP-C
-
Susana Garcia Santana, APRN, FNP-C
-
Lazaro O Gonzalez Munoz, APRN, FNP-C
-
Jay D Haskett, D.M.D., M.D.
-
Thanushiya Jeyakanthan, M.D.
-
Claudette M. Johns, APRN, FNP-C
-
Betty J Jones, APRN
-
Wanda Lewis, M.D.
-
Susan List, M.D.
-
Deanne Loague, MD
-
Dayanis Montesino Blanco, FNP-C, PMHNP-BC
-
Gunchul Park, MD
-
James Jetrow Presley, M.D.
-
Jennifer Rogers, APRN, PMHNP-BC
-
Ashley Scent, APRN, FNP-C
-
Bonnie Schlitt, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL
Federally qualified health center certification: CCN 691008
- Legal name
- WHOLE FAMILY HEALTH CENTER INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Mar 2, 2022
- Last certification
- Mar 2, 2022
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 15, 1997 in FL
- Enrollment address
- 1255 37TH St
Ste C
Vero Beach, FL 32960-6550
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Gerald Pierone |
Corporate Officer |
Jan 18, 2022 | |
| Whole Family Health Center Inc |
5% Or Greater Direct Ownership Interest | Apr 15, 1997 | 100% |
| Marie Andress |
Corporate Officer |
Jan 18, 2022 | |
| Operational/Managerial Control |
Jan 18, 2022 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Whole Family Health Center Inc |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 15, 1997 |
| Whole Family Health Center Inc |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 15, 1997 |
| Whole Family Health Center Inc |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Aug 20, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040227000663 | FL | Part B Supplier - Clinic/Group Practice | 5496641169 |
Receives reassigned benefits from 41 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fort Pierce, FL; Vero Beach, FL |
| O20220309000054 | FL | Part a Provider - Federally Qualified Health Center (FQHC) | 5496641169 | Practice locations: Vero Beach, FL |
National Provider Directory
- Tax ID family
- Whole Family Health Center Inc
- Part of
- Whole Family Health Center Inc
Locations
920 37th Pl
Ste 102103
Vero Beach, FL 32960
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
1255 37TH St Ste C
Vero Beach, FL 32960-6550
Mailing address
827 18TH St
Vero Beach, FL 32960-6481
Phone (772) 925-8200
NPI Registry JSON
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684972800000",
"number": "1255007100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 18TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606481",
"telephone_number": "772-925-8200",
"fax_number": "772-925-8199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 37TH ST STE C",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606550",
"telephone_number": "772-494-1770",
"fax_number": "772-494-1774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLE FAMILY HEALTH CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WHOLE FAMILY HEALTH CENTER, INC.",
"enumeration_date": "2021-08-20",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A",
"authorized_official_last_name": "ANDRESS",
"authorized_official_first_name": "MARIE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "772-925-8200"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Whole Family Health Center, Inc.
- Whole Family Health Center, Inc.
- Whole Family Health Center, Inc.
- Whole Family Health Center, Inc.
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All providers in Vero Beach, FL · Federally Qualified Health Center (FQHC) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.