NPIMap

Organization Active NPI

Central Florida Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
National Provider Identifier
1497786818
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTRAL FLORIDA FAMILY HEALTH CENTER, INC.
Practice address
5730 Lake Underhill Rd
Orlando, FL 32807-4366
Phone
(407) 956-4333
Fax
(407) 956-4337
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Janelle Dunn
Title
Chief Executive Officer
Phone
(407) 322-8645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X FL Primary

Addresses

Primary practice location

5730 Lake Underhill Rd
Orlando, FL 32807-4366

Mailing address

4930 E. Lake Mary Blvd.
Sanford, FL 32771
Phone (407) 322-8645

Other identifiers 1

IdentifierTypeStateIssuer
029551504MedicaidFL

Other names 1

  • True Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051015000027 FL Part B Supplier - Clinic/Group Practice 3870519234 Receives reassigned benefits from 19 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sanford, FL
O20101006001159 FL Part A Provider - Federally Qualified Health Center (FQHC) 3870519234 Practice locations: Orlando, FL

Federally qualified health center certification: CCN 101057

Legal name
CENTRAL FLORIDA FAMILY HEALTH CENTER, INC
Doing business as
TRUE HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 6, 2010
Last certification
Oct 6, 2010
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 27, 1977 in FL
Enrollment address
5730 Lake Underhill Road
Orlando, FL 32807-4366

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Berthenia Bobb Individual OtherBoard Member Dec 1, 1981
Central Florida Family Health Center, Inc Organization, Sanford, FL Non-profit Operational/Managerial Control Oct 6, 2010
Eugene Provan Individual Corporate DirectorBoard Chairman Jan 22, 2020
Janelle Dunn Individual Corporate OfficerCeo May 18, 2020
Operational/Managerial ControlCeo May 18, 2020
Dulce Rodriguez Individual OtherBoard Member Jul 1, 1988
Debbie Lenzen Individual Corporate DirectorBoard Secretary Mar 21, 2016

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
True HealthOrlando, FL, CCN 101058 Federally qualified health center Operational/Managerial Control (100%) Oct 6, 2010
True HealthOrlando, FL, CCN 101069 Federally qualified health center Operational/Managerial Control (100%) Apr 22, 2015
True HealthSanford, FL, CCN 681058 Federally qualified health center Operational/Managerial Control (100%) Jun 28, 2016
True HealthCasselberry, FL, CCN 681057 Federally qualified health center Operational/Managerial Control (100%) Apr 15, 2015
True HealthCasselberry, FL, CCN 681113 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2016
True HealthSanford, FL, CCN 691149 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 27, 1977

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1497786818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 E. LAKE MARY BLVD.",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32771",
            "telephone_number": "407-322-8645",
            "fax_number": "407-330-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328074366",
            "telephone_number": "407-956-4333",
            "fax_number": "407-956-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "407-322-8645"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029551504",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.