Active NPI
Citrus Health Network
- Mental Illness Community Based Residential Treatment Facility
- Hialeah, FL
National Provider Identifier
1437368784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- CITRUS HEALTH NETWORK
- Practice address
- 4175 W 20TH Ave
Hialeah, FL 33012-5874 - Phone
- (305) 825-0300
- NPI assigned
- May 22, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Mario Jardon
- Title
- Ceo
- Phone
- (305) 825-0300
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Hialeah, FL
- NPI 1912041617
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4175 W 20TH Ave
Hialeah, FL 33012-5874
Mailing address
1086 Longview
Weston, FL 33326-2905
Phone (954) 349-3329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437368784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 LONGVIEW",
"city": "WESTON",
"state": "FL",
"postal_code": "333262905",
"telephone_number": "954-349-3329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4175 W 20TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330125874",
"telephone_number": "305-825-0300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITRUS HEALTH NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JARDON",
"authorized_official_first_name": "MARIO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "305-825-0300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.