NPIMap

Organization Active NPI

Central Florida Family Health Center, Inc.

Doing business as True Health

  • Federally Qualified Health Center (FQHC)
  • Casselberry, FL
National Provider Identifier
1366818270
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTRAL FLORIDA FAMILY HEALTH CENTER, INC.
Doing business as
True Health
Practice address
1120 State Road 436
Suite 1600
Casselberry, FL 32707
Phone
(407) 322-8645
Fax
(407) 330-5074
NPI assigned
Aug 14, 2015
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Janelle Dunn
Title
Chief Executive Officer
Phone
(407) 322-8645

Specialties & licenses 1

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

Addresses

Primary practice location

1120 State Road 436
Suite 1600
Casselberry, FL 32707

Mailing address

4930 E Lake Mary Blvd
Sanford, FL 32771-5003
Phone (407) 322-8645

Other practice location 1

1120 State Road 436 Ste 1000
Casselberry, FL 32707-6183
Phone (407) 322-8645

Other names 1

  • True Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160628001563 FL Part A Provider - Federally Qualified Health Center (FQHC) 3870519234 Practice locations: Casselberry, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366818270. Details of each certification follow.

Federally qualified health center certification: CCN 681113

Legal name
CENTRAL FLORIDA FAMILY HEALTH CENTER, INC
Doing business as
TRUE HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 28, 2016
Last certification
Jun 28, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 27, 1977 in FL
Enrollment address
1120 State Road 436, Ste 1600
Casselberry, FL 32707-6102

Other NPIs with the same Medicare PAC ID 12

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

National Provider Directory

National Provider Directory
Tax ID family
Central Florida Family Health Center24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Central Florida Family Health Center, Inc Organization, Sanford, FL Non-profit Operational/Managerial Control Jun 1, 2016 100%
Monique Simmons-McIntyre Individual Corporate DirectorVice Chair Jun 5, 2019
Eugene Provan Individual Corporate DirectorBoard Chairman May 23, 2016
Janelle Dunn Individual Corporate OfficerCeo May 18, 2020
Operational/Managerial ControlCeo May 18, 2020
Debbie Lenzen Individual Corporate DirectorBoard Secretary Feb 26, 2017

Owners & managing parties with NPI records 12

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

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
True HealthOrlando, FL, CCN 101058 Federally qualified health center Operational/Managerial Control (100%) Oct 6, 2010
True HealthOrlando, FL, CCN 101057 Federally qualified health center Operational/Managerial Control Oct 6, 2010
True HealthOrlando, FL, CCN 101069 Federally qualified health center Operational/Managerial Control (100%) Apr 22, 2015
True HealthSanford, FL, CCN 681058 Federally qualified health center Operational/Managerial Control (100%) Jun 28, 2016
True HealthCasselberry, FL, CCN 681057 Federally qualified health center Operational/Managerial Control (100%) Apr 15, 2015
True HealthSanford, FL, CCN 691149 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 27, 1977

Owned or controlled facilities with NPI records 6

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

Facilities with the same owner 6

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

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1366818270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 E LAKE MARY BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715003",
            "telephone_number": "407-322-8645",
            "fax_number": "407-330-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 STATE ROAD 436",
            "address_2": "SUITE 1600",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "32707",
            "telephone_number": "407-322-8645",
            "fax_number": "407-330-5074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 State Road 436 Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Casselberry",
            "state": "FL",
            "postal_code": "327076183",
            "country_code": "US",
            "telephone_number": "407-322-8645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL FLORIDA FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "407-322-8645"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "True Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casselberry, FL

Sources for this page

Verify at the official NPI Registry.