Community Choice Health Network Corp

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

COMMUNITY CHOICE HEALTH NETWORK CORP

Practice address

5985 W 25TH CT Ste A108
Hialeah, FL 33016-4462

Phone

(305) 557-2328

Fax

(305) 846-9238

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Richard Garcia-Prada, SOCIAL WORKERNPI 1194983254

Title

President

Phone

(305) 557-2328

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oleg Merges, MD

  • Internal Medicine Physician
  • Davenport, FL
  • NPI 1174031686
  Medicare reassignment NPD
• Richard Garcia-Prada, BS

  • Social Worker
  • Miami, FL
  • NPI 1194983254
  NPD Authorized official
• Fernando Soutullo, PT

  • Physical Therapist
  • Miami, FL
  • NPI 1346257805
  Medicare reassignment

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1437758364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5985 W 25TH CT STE A108",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330164462",
            "telephone_number": "305-557-2328",
            "fax_number": "305-846-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5985 W 25TH CT STE A108",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330164462",
            "telephone_number": "305-557-2328",
            "fax_number": "305-846-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHOICE HEALTH NETWORK CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "GARCIA-PRADA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-557-2328",
        "authorized_official_credential": "SOCIAL WORKER"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Milagros Combe
• Combined Health Services Corporation (Universal Arts Pharmacy)
• Comfort Care Dialysis Center, LLC.
• Communication Crossroads Corp
• Community Action Bridge Inc
• Community Clinical Center Inc
• Community Healthcare Administrators
• Community Medical Center, Inc.
• Community Medical Clinic Inc
• Community Medical Group

• Physical Therapy Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.