Homestead Research Mental Health Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PENDING

Legal business name

HOMESTEAD RESEARCH MENTAL HEALTH INC

Practice address

317 N Krome Ave
Homestead, FL 33030-6057

Phone

(305) 257-8065

Fax

(305) 508-6502

NPI assigned

Oct 21, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Waleem Enrique HernandezNPI 1669167714

Title

Owner/President

Phone

(305) 257-8065

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Waleem Enrique Hernandez, MD

  • Student in an Organized Health Care Education/Training Program
  • Durham, NC
  • NPI 1669167714
  NPD (past) Authorized official

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

{
    "created_epoch": "1508544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1669983300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306057",
            "telephone_number": "305-257-8065",
            "fax_number": "305-508-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306057",
            "telephone_number": "305-257-8065",
            "fax_number": "305-508-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD RESEARCH MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-21",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "WALEEM",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "305-257-8065",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0022753300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Homestead Modern Dentistry, PA
• Homestead Pediatric Associates, Inc.
• Homestead Pediatrics Association
• Homestead Pharmacy Corp
• Homestead Rehabilitation Center Corp
• Homestead Therapeutic Care Inc
• Homestead Urgent Care
• Homesteadmed PA
• Homestretch Rehabilitations LLC
• Karina Hoogesteyn

• Mental Health Clinic/Center (Including Community Mental Health Center) in Homestead, FL
• Providers in Homestead, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.