Organization Active NPI

Renascence Community Health Care Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
National Provider Identifier
1528076072
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
4778735 Issued in FL
Legal business name
RENASCENCE COMMUNITY HEALTH CARE CENTER, INC.
Practice address
1370 NW 16 St
Miami, FL 33125-1623
Phone
(305) 324-8400
Fax
(305) 324-8080
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Marta G Amado, LMHC
Title
Ceo
Phone
(305) 324-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 4778735 FL Primary

Addresses

Primary practice location

1370 NW 16 St
Miami, FL 33125-1623

Mailing address

1370 NW 16 St
Miami, FL 33125-1623
Phone (305) 324-8400

Other names 1

  • RENASCENCE COMMUNITY MENTAL HEALTH CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1370 NW 16th St
Miami, FL 33125
Phone (305) 324-8400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1528076072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 NW 16 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251623",
            "telephone_number": "305-324-8400",
            "fax_number": "305-324-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 NW 16 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251623",
            "telephone_number": "305-324-8400",
            "fax_number": "305-324-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENASCENCE COMMUNITY HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "AMADO",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-324-8400",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "4778735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RENASCENCE COMMUNITY MENTAL HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.