NPIMap

Organization Active NPI

DCHD Health Care Professionals LLC

  • Specialist
  • Arcadia, FL
National Provider Identifier
1346563897
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4218 Issued in FL
Legal business name
DCHD HEALTH CARE PROFESSIONALS LLC
Practice address
900 North Robert Avenue
Arcadia, FL 34266-8712
Phone
(863) 494-8403
Fax
(863) 491-4328
NPI assigned
Mar 11, 2010
Last updated
Aug 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Mr. Vincent A Sica
Title
Ceo
Phone
(863) 494-8403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4218 FL Primary

Addresses

Primary practice location

900 North Robert Avenue
Arcadia, FL 34266-8712

Mailing address

900 North Robert Avenue
Arcadia, FL 34266-8712
Phone (863) 494-8403

Other practice location 1

201 E Gibson St
Arcadia, FL 34266-4707
Phone (863) 491-4226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100907000065 FL Part B Supplier - Clinic/Group Practice 6800910365 Receives reassigned benefits from 37 practitioners
Practice locations: Arcadia, FL; Wauchula, FL
O20201009001550 GA Part B Supplier - Clinic/Group Practice 6800910365 Receives reassigned benefits from 10 practitioners
Practice locations: Stockbridge, GA
O20221119000456 TN Part B Supplier - Clinic/Group Practice 6800910365 Receives reassigned benefits from 8 practitioners
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1010 N Mills Ave
Arcadia, FL 34266
Phone (863) 993-7624

3671 Southwestern Blvd
Ste 107
Orchard Park, NY 14127
Phone (716) 310-4168

Practitioners & affiliated clinicians

Practitioners 54

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 54

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1346563897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NORTH ROBERT AVENUE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668712",
            "telephone_number": "863-494-8403",
            "fax_number": "863-491-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NORTH ROBERT AVENUE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668712",
            "telephone_number": "863-494-8403",
            "fax_number": "863-491-4328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E Gibson St",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342664707",
            "country_code": "US",
            "telephone_number": "863-491-4226",
            "fax_number": "863-491-4202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DCHD HEALTH CARE PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "SICA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-494-8403",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "4218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.