Helen B Bentley Family Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

719670 Issued in FL

Legal business name

HELEN B BENTLEY FAMILY HEALTH CENTER

Practice address

3090 SW 37TH Ave
Miami, FL 33133-4311

Phone

(305) 447-4950

Fax

(305) 444-7866

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Caleb A Davis, PHD

Title

President Ceo

Phone

(305) 351-1314

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coconut Grove Family Health Center Former legal business name

Tax ID family

Coconut Grove Family Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Helen B. Bentley Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1982706347
  NPD tax ID

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487657516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 SW 37TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334311",
            "telephone_number": "305-447-4950",
            "fax_number": "305-444-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 SW 37TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334311",
            "telephone_number": "305-447-4950",
            "fax_number": "305-444-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELEN B BENTLEY FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "305-351-1314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "FL",
            "license": "719670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0295553100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coconut Grove Family Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Yael E Heimer, LCSW
• Todd Blake Heimowitz, D.O.
• Gabriela Laranjeira Heisel, M.D.
• Consuelo Heitlauf Perez, LMHC
• Alan W. Heldman, M.D.
• Helen B Bentley Family Health Ctr
• Helen B. Bentley Family Health Center
• Helen B. Bentley Family Health Center, Inc.
• Helen E. Schuster LCSW, Inc.
• Helen Homes of South Dade

• Federally Qualified Health Center (FQHC) in Miami, FL
• Providers in Miami, FL by specialty
• Federally Qualified Health Center (FQHC) in Florida

• 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.

Verify at the official NPI Registry.