Organization Active NPI

Amerihealth Caritas Florida, Inc.

  • Health Maintenance Organization
  • Palm Beach Gardens, FL
National Provider Identifier
1518619352
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1001406-11MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Amerihealth Caritas Florida3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.