Family Care Mental Health, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FAMILY CARE MENTAL HEALTH, LLC

Practice address

9340 N Florida Ave Ste F
Tampa, FL 33612-7925

Phone

(813) 703-0016

NPI assigned

Jan 5, 2021

Last updated

Apr 4, 2021By 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

Javier Valdes Banguela

Title

Owner

Phone

(813) 703-0016

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617494400000",
    "number": "1487242483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13919 BRIARDALE LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182115",
            "telephone_number": "813-703-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9340 N FLORIDA AVE STE F",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127925",
            "telephone_number": "813-703-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-04-04",
        "certification_date": "2021-04-04",
        "status": "A",
        "authorized_official_last_name": "VALDES BANGUELA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-703-0016"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109316300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Families First of Florida, LLC
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• Families First of Florida, LLC
• Family Allergy and Asthma Center PA
• Family Care Center, LLC
• Family Care of West Florida
• Family Centered Behavior Services, LLC
• Family Choices Center
• Family Dental Group Inc
• Family Extended Care of Central Tampa, Inc.

• Community/Behavioral Health Agency in Tampa, FL
• Providers in Tampa, 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 Apr 4, 2021; 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.