Active Community Health Center of Broward, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ACTIVE COMMUNITY HEALTH CENTER OF BROWARD, INC

Doing business as

Active Community Health Center Of Broward, Inc

Practice address

1060 Sunset Strip
Sunrise, FL 33313-6106

Phone

(954) 333-8787

Fax

(954) 333-8621

NPI assigned

Aug 31, 2020

Last updated

Aug 31, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pablo UriarteNPI 1669618849

Title

Ceo

Phone

(954) 394-3095

Specialties & licenses 1

Addresses

Other names 1

• Active Community Health Center Of Broward, Inc Doing business as

Practitioners 1

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.

• Pablo Uriarte, LCSW

  • Clinical Social Worker
  • Sunrise, FL
  • NPI 1669618849
  NPD Authorized official

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1407460298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19321 SW 14TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330296124",
            "telephone_number": "954-394-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 SUNSET STRIP",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333136106",
            "telephone_number": "954-333-8787",
            "fax_number": "954-333-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE COMMUNITY HEALTH CENTER OF BROWARD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "URIARTE",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-394-3095"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Community Health Center Of Broward, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Acosta, MD
• Holly A Acosta
• Nicholas Acosta, DPT
• Active Care Nursing Services Inc.
• Active Community Health Center Corp
• Linda Adams
• Lealia Danelle Adeagbo, LMHC
• Reka Mendoza Adil, RPT
• Admeco,Inc
• Adora Care Injury and Wellness Center

• Community/Behavioral Health Agency in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.