Organization Active NPI

Fed Help Medical of West Broward Corp

Doing business as Encanto Health & Community Services

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1255955357
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FED HELP MEDICAL OF WEST BROWARD CORP
Doing business as
Encanto Health & Community Services
Practice address
11430 N Kendall Dr Ste 106
Miami, FL 33176-1041
Phone
(786) 312-0359
NPI assigned
Jun 4, 2020
Last updated
May 21, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
FED HELP MEDICAL OF WEST BROWARD CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Yarisbel Gallardo
Title
Ceo
Phone
(786) 703-1605

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11430 N Kendall Dr Ste 106
Miami, FL 33176-1041

Mailing address

11430 N Kendall Dr Ste 106
Miami, FL 33176-1041
Phone (786) 312-0359

Other names 1

  • ENCANTO HEALTH & COMMUNITY SERVICES Doing business as

National Provider Directory

National Provider Directory
Part of
Encanto Health Community Services

Locations

11430 N Kendall Dr
Ste 106
Miami, FL 33176
Phone (305) 279-5535

11430 N Kendall Dr
Ste C6
Miami, FL 33176
Phone (786) 312-0359

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1255955357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11430 N KENDALL DR STE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761041",
            "telephone_number": "786-312-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11430 N KENDALL DR STE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761041",
            "telephone_number": "786-312-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FED HELP MEDICAL OF WEST BROWARD CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FED HELP MEDICAL OF WEST BROWARD CORP",
        "enumeration_date": "2020-06-04",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "GALLARDO",
        "authorized_official_first_name": "YARISBEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-703-1605"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENCANTO HEALTH & COMMUNITY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.