NPIMap

Organization Active NPI

Central Florida Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Casselberry, FL
National Provider Identifier
1669840633
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTRAL FLORIDA FAMILY HEALTH CENTER, INC.
Practice address
1120 Sr 436
Suite 1200
Casselberry, FL 32707
Phone
(407) 322-8645
Fax
(407) 330-5074
NPI assigned
Sep 9, 2015
Organization subpart
Yes
Parent organization
CENTRAL FLORIDA FAMILY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Janelle Dunn
Title
Chief Executive Officer
Phone
(407) 322-8645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1120 Sr 436
Suite 1200
Casselberry, FL 32707

Mailing address

4930 E. Lake Mary Blvd.
Sanford, FL 32771
Phone (407) 322-8645

Other names 1

  • TrueHealth Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160628000239 FL Part A Provider - Federally Qualified Health Center (FQHC) 3870519234 Practice locations: Casselberry, FL

Federally qualified health center certification: CCN 681057

Legal name
CENTRAL FLORIDA FAMILY HEALTH CENTER, INC
Doing business as
TRUE HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 28, 2016
Last certification
Jun 28, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 27, 1977 in FL
Enrollment address
1120 State Road 436, Ste 1200
Casselberry, FL 32707-6183

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Central Florida Family HLTH Ctr24 organizations share this tax ID, including this one
Part of
Central Florida Family HLTH Ctr

Other organizations with this tax ID 23

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

View all 23

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Central Florida Family Health Center, Inc Organization, Sanford, FL Corporation, Non-profit Operational/Managerial Control Apr 15, 2015 100%
Janelle Dunn Individual Contracted Managing Employee May 18, 2020 100%
Corporate OfficerCeo May 18, 2020

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
True HealthOrlando, FL, CCN 101058 Federally qualified health center Operational/Managerial Control (100%) Oct 6, 2010
True HealthOrlando, FL, CCN 101057 Federally qualified health center Operational/Managerial Control Oct 6, 2010
True HealthOrlando, FL, CCN 101069 Federally qualified health center Operational/Managerial Control (100%) Apr 22, 2015
True HealthSanford, FL, CCN 681058 Federally qualified health center Operational/Managerial Control (100%) Jun 28, 2016
True HealthCasselberry, FL, CCN 681113 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2016
True HealthSanford, FL, CCN 691149 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 27, 1977

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 6

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

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1669840633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 E. LAKE MARY BLVD.",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32771",
            "telephone_number": "407-322-8645",
            "fax_number": "407-330-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SR 436",
            "address_2": "SUITE 1200",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "32707",
            "telephone_number": "407-322-8645",
            "fax_number": "407-330-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL FLORIDA FAMILY HEALTH CENTER, INC.",
        "enumeration_date": "2015-09-09",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "407-322-8645"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TrueHealth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TrueHealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casselberry, FL

Sources for this page

Verify at the official NPI Registry.