Organization Active NPI

Alive and Well Community Urgent Care LLC

  • Urgent Care Clinic/Center
  • Miami Gardens, FL
National Provider Identifier
1376303487
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ALIVE AND WELL COMMUNITY URGENT CARE LLC
Practice address
18405 NW 2ND Ave Ste B
Miami Gardens, FL 33169-4505
Phone
(800) 434-1366
NPI assigned
Mar 19, 2024
Last updated
Mar 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Calvanetta Franklin
Title
Director
Phone
(954) 505-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

18405 NW 2ND Ave Ste B
Miami Gardens, FL 33169-4505

Mailing address

18405 NW 2ND Ave Ste B
Miami Gardens, FL 33169-4505
Phone (800) 434-1366

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260114000173 FL Part B Supplier - Clinic/Group Practice 5496231078 Receives reassigned benefits from 10 practitioners
Practice locations: Miami Gardens, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2304660Alive and Well Community Urgent Care LLC18405 NW 2ND Ave Suite B, Miami Gardens, FL 33169Certificate of waiverMay 15, 2028

National Provider Directory

National Provider Directory

Locations

18405 NW 2nd Ave
Ste B
Miami Gardens, FL 33169
Phone (800) 434-1366

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1376303487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18405 NW 2ND AVE STE B",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694505",
            "telephone_number": "800-434-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18405 NW 2ND AVE STE B",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694505",
            "telephone_number": "800-434-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVE AND WELL COMMUNITY URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "CALVANETTA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-505-1501"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.