NPIMap

West Boca Medical Center, Inc.

Organization Active NPI General Acute Care Hospital · Boca Raton, FL

NPI 1588697296 · NPPES record last updated Sep 4, 2026

Key facts

NPI
1588697296
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
4283 (FL)
Legal business name
WEST BOCA MEDICAL CENTER, INC.
Practice address
21644 State Road 7
Boca Raton, FL 33428-1842
Phone
(561) 488-8000
NPI assigned
Jul 8, 2006
Organization subpart
No

Authorized official

Name
Kim Cole
Title
Cfo
Phone
(461) 488-8140

Other NPIs on the same Medicare enrollment 12

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Facilities with the same owner 91

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

View all 91

Practitioners 5

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

Affiliated clinicians 282

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 282

Medicare Care Compare: Hospital

Listed as
West Boca Medical Center CCN 100268
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0666989West Boca Medical Center Clinical Laboratory
21644 State Rd 7, Boca Raton, FL 33428		AccreditationJan 2, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in FL

Hospital certification: CCN 100268

Legal name
WEST BOCA MEDICAL CENTER, INC.
Doing business as
WEST BOCA MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Feb 6, 1986
Last certification
Oct 28, 1992
Beds
195
Ownership / control type
Private (for profit)
Most recent change of ownership
Sep 12, 2003 (2 total)
Organization structure
Corporation · Proprietary
Incorporated
Feb 7, 2001 in FL
Enrollment address
21644 State Road 7
Boca Raton, FL 33428-1842
Other Hospital Practice Location
Hospital subgroups
General, Acute care

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Jerad Hanlon
Individual 		Corporate Officer
President		 Oct 9, 2023
W-2 Managing Employee
Ceo		 Oct 9, 2023
Tenet Healthcare Corporation
Organization · Dallas, TX
Corporation, For-profit 		5% Or Greater Indirect Ownership Interest Feb 7, 2001 100%
Sharilee Smith
Individual 		Corporate Director
Director		 Mar 1, 2024
Angelo P Pagano
Individual 		Corporate Officer
Vice President		 Jul 1, 2024
Saumya Sutaria
Individual 		Other Sep 13, 2019
Tenet Florida, Inc.
Organization · Dallas, TX
Corporation, Holding company, For-profit 		5% Or Greater Direct Ownership Interest May 6, 2020 100%
Health Services Network Hospitals, Inc.
Organization · Dallas, TX
Corporation, Holding company, For-profit 		5% Or Greater Indirect Ownership Interest Oct 14, 2014 100%
Kristina a Mack
Individual 		Corporate Officer
Secretary		 Jul 24, 2008
Joshua Burkett
Individual 		Corporate Officer
Treasurer		 Oct 20, 2024

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20030724000035 FL Part a Provider - Hospital 7214848035 Practice locations: Boca Raton, FL; Coconut Creek, FL
O20220207001631 FL Part B Supplier - Clinic/Group Practice 7315330776 Receives reassigned benefits from 6 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boca Raton, FL; Tamarac, FL; Naples, FL; Bonita Springs, FL; Margate, FL

National Provider Directory

Locations

9070 Kimberly Blvd
Ste 53
Boca Raton, FL 33434

Networks

  • HealthSun Health Plans Network
  • Freedom Health HMO Network
    Plans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO Network
    Plans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Interoperability endpoints

  • Direct secure messaging: wbo@direct.hub5.tenethealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 4283 FL Yes

Addresses

Primary practice location

21644 State Road 7
Boca Raton, FL 33428-1842

Mailing address

PO Box 741249
Atlanta, GA 30374-1249
Phone (561) 982-2189

Other identifiers

IdentifierTypeStateIssuer
100268B000000OtherSECTION 1011
758584410OtherAETNA US HEALTHCARE
291OtherBCBS OF FLORIDA
187244OtherCOVENTRY HEALTH CARE
WBOCA1000OtherNEIGHBORHOOD HEALTH PLAN
012024300MedicaidFL
63583(HMO)OtherAETNA US HEALTHCARE
6201580(NON-HMO)OtherAETNA US HEALTHCARE
070030OtherAVMED
080086OtherHUMANA
990366OtherNEIGHBORHOOD HEALTH PLAN

Other names

  • West Boca Medical Center Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
Direct Messaging Address WBO@Direct.Hub5.TenetHealth.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 4, 2026.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1588697296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741249",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741249",
            "telephone_number": "561-982-2189",
            "fax_number": "561-488-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21644 STATE ROAD 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281842",
            "telephone_number": "561-488-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BOCA MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "461-488-8140"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "4283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECTION 1011",
            "identifier": "100268B000000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "758584410",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "291",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH CARE",
            "identifier": "187244",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "WBOCA1000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012024300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "63583(HMO)",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "6201580(NON-HMO)",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "070030",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "080086",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "990366",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WBO@Direct.Hub5.TenetHealth.com",
            "affiliation": "N",
            "endpointDescription": "Diect Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "21644 State Road 7",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334281842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "West Boca Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Boca Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

All providers in Boca Raton, FL · General Acute Care Hospital in Florida

Sources for this page

Verify at the official NPI Registry.