NPIMap

Organization Active NPI

Greater Harvest Community Outreach Life Center

  • Community Health Clinic/Center
  • Miami Gardens, FL
National Provider Identifier
1689228884
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
GREATER HARVEST COMMUNITY OUTREACH LIFE CENTER
Doing business as
Greater Harvest Community Outreach Life Center
Practice address
4888 NW 183Rd St Ste 215
Miami Gardens, FL 33055-2943
Phone
(954) 591-0896
NPI assigned
Jul 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Dr. Gerald Ealey, DO,MS
Title
Owner
Phone
(786) 565-8377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

4888 NW 183Rd St Ste 215
Miami Gardens, FL 33055-2943

Mailing address

17950 NW 22ND CT
Miami Gardens, FL 33056-3706
Phone (786) 565-8377

Other names 1

  • Greater Harvest Community Outreach Life Center Doing business as

National Provider Directory

National Provider Directory

Locations

4888 NW 183rd St
Ste 215
Miami Gardens, FL 33055
Phone (954) 591-0896

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1689228884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17950 NW 22ND CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563706",
            "telephone_number": "786-565-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4888 NW 183RD ST STE 215",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552943",
            "telephone_number": "954-591-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER HARVEST COMMUNITY OUTREACH LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "EALEY",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-565-8377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO,MS"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Harvest Community Outreach Life Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.