Active NPI
Amerihealth Caritas Florida, Inc.
- Health Maintenance Organization
- Palm Beach Gardens, FL
National Provider Identifier
1518619352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- AMERIHEALTH CARITAS FLORIDA, INC.
- Practice address
- 11631 Kew Gardens Ave Ste 201
Palm Beach Gardens, FL 33410-2845 - Phone
- (855) 464-8812
- NPI assigned
- Jan 24, 2022
- Last updated
- Aug 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Tootle
- Title
- Corporate Secretary
- Phone
- (215) 937-8561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
11631 Kew Gardens Ave Ste 201
Palm Beach Gardens, FL 33410-2845
Mailing address
11631 Kew Gardens Ave Ste 201
Palm Beach Gardens, FL 33410-2845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001406-11 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Amerihealth Caritas Florida
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Health Maintenance Organization
- Palm Beach Gardens, FL
- NPI 1942777891
-
- Health Maintenance Organization
- Palm Beach Gardens, FL
- NPI 1831818806
Locations
11631 Kew Gardens Ave
Ste 201
Palm Beach Gardens, FL 33410
Phone (855) 464-8812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659571200000",
"number": "1518619352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11631 KEW GARDENS AVE STE 201",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11631 KEW GARDENS AVE STE 201",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102845",
"telephone_number": "855-464-8812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERIHEALTH CARITAS FLORIDA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-24",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A",
"authorized_official_last_name": "TOOTLE",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CORPORATE SECRETARY",
"authorized_official_telephone_number": "215-937-8561"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1001406-11",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.