Organization Active NPI

Procare Health Solutions Inc

Doing business as Country Club Chiropractic & Health

  • Chiropractor
  • Hialeah, FL
National Provider Identifier
1689368714
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PROCARE HEALTH SOLUTIONS INC
Doing business as
Country Club Chiropractic & Health
Practice address
18658 NW 67TH Ave
Hialeah, FL 33015-2406
Phone
(786) 618-9984
Fax
(786) 401-6549
NPI assigned
Jun 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Erika Rodriguez, D.C.NPI 1811555246
Title
D.C.
Phone
(786) 618-9984

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

18658 NW 67TH Ave
Hialeah, FL 33015-2406

Mailing address

18658 NW 67TH Ave
Hialeah, FL 33015-2406
Phone (786) 618-9984

Other names 1

  • COUNTRY CLUB CHIROPRACTIC & HEALTH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230628003202 FL Part B Supplier - Clinic/Group Practice 5193184893 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Locations

18658 NW 67th Ave
Miami Gardens, FL 33015
Phone (305) 620-3500

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1689368714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18658 NW 67TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152406",
            "telephone_number": "786-618-9984",
            "fax_number": "786-401-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18658 NW 67TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152406",
            "telephone_number": "786-618-9984",
            "fax_number": "786-401-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE HEALTH SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "D.C.",
        "authorized_official_telephone_number": "786-618-9984",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COUNTRY CLUB CHIROPRACTIC & HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.