NPIMap

Organization Active NPI

Whole Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Vero Beach, FL
National Provider Identifier
1255007100
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 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
Last updated
May 25, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WHOLE FAMILY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Marie Andress
Title
Chief Executive Officer
Phone
(772) 925-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255007100. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Apr 15, 1997 in FL
Enrollment address
1255 37TH St
Ste C
Vero Beach, FL 32960-6550

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory
Tax ID family
Whole Family Health Ctr11 organizations share this tax ID, including this one
Part of
Whole Family Health Ctr

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

920 37th Pl
Ste 102103
Vero Beach, FL 32960

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gerald Pierone Individual Corporate OfficerChief Medical Officer Jan 18, 2022
Whole Family Health Center Inc Organization, Vero Beach, FL Non-profit 5% Or Greater Direct Ownership Interest Apr 15, 1997 100%
Marie Andress Individual Corporate OfficerChief Executive Officer Jan 18, 2022
Operational/Managerial ControlChief Executive Officer Jan 18, 2022

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Whole Family Health Center IncFort Pierce, FL, CCN 681115 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 15, 1997
Whole Family Health Center IncVero Beach, FL, CCN 681116 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 15, 1997
Whole Family Health Center IncVero Beach, FL, CCN C11076 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Aug 20, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 8

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": "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": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.