Active NPI
El Centro de Corazon
Doing business as El Centro de Corazon- Southeast
- Federally Qualified Health Center (FQHC)
- Houston, TX
National Provider Identifier
1548538531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- EL CENTRO DE CORAZON
- Doing business as
- El Centro de Corazon- Southeast
- Practice address
- 5901 Long Dr Ste 500
Houston, TX 77087-1003 - Phone
- (713) 660-1880
- Fax
- (713) 926-9105
- NPI assigned
- Dec 6, 2011
- Last updated
- Dec 16, 2015
- Organization subpart
- Yes
- Parent organization
- EL CENTRO DE CORAZON
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marcelle Mir
- Title
- Chief Executive Officer
- Phone
- (713) 660-1880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
5901 Long Dr Ste 500
Houston, TX 77087-1003
Mailing address
5001 Navigation Blvd
Houston, TX 77011-1019
Phone (713) 926-1849
Other names 1
- EL CENTRO DE CORAZON- SOUTHEAST
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1548538531. Details of each certification follow.
Federally qualified health center certification: CCN 741925
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- EL CENTRO DE CORAZON SOUTHEAST
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- May 27, 2016
- Last certification
- May 27, 2016
- Ownership / control type
- For profit – corporation
- Facility address
- 5901 Long Drive, Suite 500
Houston, TX 77087
National Provider Directory
National Provider Directory- Part of
- El Centro de Corazon
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450224000000",
"number": "1548538531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 NAVIGATION BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770111019",
"telephone_number": "713-926-1849",
"fax_number": "713-926-4244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 LONG DR STE 500",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770871003",
"telephone_number": "713-660-1880",
"fax_number": "713-926-9105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EL CENTRO DE CORAZON",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EL CENTRO DE CORAZON",
"enumeration_date": "2011-12-06",
"last_updated": "2015-12-16",
"status": "A",
"authorized_official_last_name": "MIR",
"authorized_official_first_name": "MARCELLE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "713-660-1880",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EL CENTRO DE CORAZON- SOUTHEAST",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.