Altamira Community Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ALTAMIRA COMMUNITY CENTER LLC

Practice address

1500 Colonial Blvd Ste 216
Fort Myers, FL 33907-1026

Phone

(786) 731-6492

NPI assigned

May 24, 2022

Organization subpart

No

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

Authorized official

Name

Daysi Herrera Martinez, LCSW

Title

Manager

Phone

(786) 521-2072

Specialties & licenses 1

Addresses

Tax ID family

Altamira Community Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Altamira Community Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Miami, FL
  • NPI 1750996096
  NPD tax ID
• Altamira Community Center LLC

  • Case Management Agency
  • North Miami, FL
  • NPI 1912508912
  NPD tax ID

Locations

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1417695917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12540 NE 8TH AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614965",
            "telephone_number": "786-731-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 COLONIAL BLVD STE 216",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071026",
            "telephone_number": "786-731-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMIRA COMMUNITY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "HERRERA MARTINEZ",
        "authorized_official_first_name": "DAYSI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-521-2072",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpha Home Care Services LLC
• Alpha Medicine and Rehab, LLC
• Mohammed K Alrubaie, BDS
• Nylee Alston
• Shannon Alston
• Alternative Medical Institute Corp.
• Kimberly Maxine Alters, D.C./ARNP
• Mackenzie Labbe Althouse, APRN
• Frank P Altieri, M.D.
• Michael Altieri, CRNA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.