Organization Active NPI

Spiritual Connection Outreach Community Center of South Florida

  • Case Management Agency
  • Plantation, FL
National Provider Identifier
1356058762
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SPIRITUAL CONNECTION OUTREACH COMMUNITY CENTER OF SOUTH FLORIDA
Practice address
5975 W Sunrise BVLD
Suite 210
Plantation, FL 33313-1663
Phone
(917) 567-0530
NPI assigned
Nov 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Joann Raiola, CBHCMSNPI 1619623451
Title
Cfo
Phone
(917) 567-0530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

5975 W Sunrise BVLD
Suite 210
Plantation, FL 33313-1663

Mailing address

5975 W Sunrise BVLD
Plantation, FL 33313
Phone (917) 794-5972

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1356058762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 W SUNRISE BVLD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "917-794-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 W SUNRISE BVLD",
            "address_2": "SUITE 210",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333131663",
            "telephone_number": "917-567-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRITUAL CONNECTION OUTREACH COMMUNITY CENTER OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "RAIOLA",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "917-567-0530",
        "authorized_official_credential": "CBHCMS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.