Active NPI
Health Care Center for the Homeless Inc
- Federally Qualified Health Center (FQHC)
- Sanford, FL
National Provider Identifier
1326466657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- HEALTH CARE CENTER FOR THE HOMELESS INC
- Practice address
- 225 N Kennel Rd
Sanford, FL 32771-8814 - Phone
- (407) 428-5751
- Fax
- (407) 428-6204
- NPI assigned
- Apr 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bakari F Burns
- Title
- President/Ceo
- Phone
- (407) 428-5751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
225 N Kennel Rd
Sanford, FL 32771-8814
Mailing address
232 N Orange Blossom TRL
Orlando, FL 32805-1612
Phone (407) 428-5751
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 687429108 - FQHC | Medicaid | FL | |
| 687429109 - FFS | Medicaid | FL |
Other names 1
- Orange Blossom Family Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101019001089 | FL | Part B Supplier - Clinic/Group Practice | 6103895107 |
Receives reassigned benefits from 106 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kissimmee, FL; Orlando, FL |
National Provider Directory
National Provider DirectoryLocations
232 N Orange Blossom Trl
Orlando, FL 32805
Phone (407) 428-1672
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Orlando, FL
- NPI 1104298637
O20101019001089
-
- Federally Qualified Health Center (FQHC)
- Orlando, FL
- NPI 1235213216
O20101019001089
-
- Federally Qualified Health Center (FQHC)
- Orlando, FL
- NPI 1588109185
O20101019001089
-
- Federally Qualified Health Center (FQHC)
- Orlando, FL
- NPI 1265773592
O20101019001089
-
- Federally Qualified Health Center (FQHC)
- Kissimmee, FL
- NPI 1346663325
O20101019001089
-
- Federally Qualified Health Center (FQHC)
- Orlando, FL
- NPI 1952869968
O20101019001089
-
- Federally Qualified Health Center (FQHC)
- Orlando, FL
- NPI 1992683536
O20101019001089
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Orlando, FL
- NPI 1912065673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471824000000",
"number": "1326466657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 N ORANGE BLOSSOM TRL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328051612",
"telephone_number": "407-428-5751",
"fax_number": "407-428-6204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 N KENNEL RD",
"city": "SANFORD",
"state": "FL",
"postal_code": "327718814",
"telephone_number": "407-428-5751",
"fax_number": "407-428-6204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH CARE CENTER FOR THE HOMELESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-03",
"last_updated": "2016-08-22",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "BAKARI",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "407-428-5751"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "687429108 - FQHC",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "687429109 - FFS",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Orange Blossom Family Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.