NPIMap

Organization Active NPI

Treasure Coast Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Vero Beach, FL
National Provider Identifier
1376010504
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TREASURE COAST COMMUNITY HEALTH INC
Practice address
787 37TH St Ste 140
Vero Beach, FL 32960-7305
Phone
(772) 257-8224
Fax
(772) 252-3245
NPI assigned
Oct 25, 2018
Organization subpart
Yes
Parent organization
TREASURE COAST COMMUNITY HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Heather Miranda
Title
Interim Ceo
Phone
(772) 257-8224

Specialties & licenses 1

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

Addresses

Primary practice location

787 37TH St Ste 140
Vero Beach, FL 32960-7305

Mailing address

1555 Indian River Blvd Ste B210
Vero Beach, FL 32960-7113
Phone (772) 257-8224

Other identifiers 1

IdentifierTypeStateIssuer
680005018MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130401000508 FL Part B Supplier - Clinic/Group Practice 4082625827 Receives reassigned benefits from 70 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Vero Beach, FL; Fellsmere, FL; Sebastian, FL
O20181106003051 FL Part A Provider - Federally Qualified Health Center (FQHC) 4082625827 Practice locations: Vero Beach, FL

Federally qualified health center certification: CCN 681134

Legal name
TREASURE COAST COMMUNITY HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 6, 2018
Last certification
Nov 6, 2018
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Oct 8, 1993 in FL
Enrollment address
787 37TH St, Ste 140
Vero Beach, FL 32960-7305

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Fellsmere Community Health

Locations

4675 28th Ct
Vero Beach, FL 32967
Phone (772) 770-5151

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Ernestine Williams Individual Corporate Director Sep 27, 2017
Vera Smith Individual Corporate Director Jan 31, 2018
Wilfred Hart Individual Corporate Director Apr 28, 2021
Theda Holland Individual Corporate Director Feb 24, 2016
Ed Fialrowski Individual Corporate Director Aug 29, 2022
Revis Akers Individual Corporate Director Nov 26, 2017
James Hare Individual Corporate Director Aug 29, 2022
Treasure Coast Community Health Inc Organization, Vero Beach, FL Corporation, Non-profit Operational/Managerial Control Oct 19, 2018
Judith Miller Individual Corporate Director Jul 27, 2016
Judyth Huls-Kuder Individual Corporate Director Aug 29, 2022
Trevor Loomis Individual Corporate Director Sep 27, 2022
Heather Miranda Individual Corporate OfficerCeo Nov 7, 2025
W-2 Managing EmployeeCeo Nov 7, 2025 100%
Tina Nicholson Individual Corporate Director Apr 8, 2021
Susan Thompson Individual Corporate Director May 23, 2022
Andrea Barkett Individual Corporate Director Apr 27, 2022
Elizabeth Adolphe Individual Corporate Director Jan 20, 2022
Brenda Doninger-Bradley Individual Corporate Director Apr 28, 2021
Kelly Cambon Individual Corporate Director Sep 11, 2023

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Treasure Coast Community Health IncSebastian, FL, CCN 681077 Federally qualified health center Operational/Managerial Control Dec 27, 2016
Treasure Coast Community Health IncVero Beach, FL, CCN 681153 Federally qualified health center Operational/Managerial Control (100%) Aug 26, 2019
Treasure Coast Community Health IncVero Beach, FL, CCN C11074 Federally qualified health center Operational/Managerial Control Sep 8, 2025

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 8

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": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1376010504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 INDIAN RIVER BLVD STE B210",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607113",
            "telephone_number": "772-257-8224",
            "fax_number": "772-252-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 37TH ST STE 140",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607305",
            "telephone_number": "772-257-8224",
            "fax_number": "772-252-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST COMMUNITY HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TREASURE COAST COMMUNITY HEALTH INC",
        "enumeration_date": "2018-10-25",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "772-257-8224"
    },
    "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": "680005018",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.