Organization Active NPI

Wellness Therapy & Medical Care Center Inc

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1689984932
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC Issued in FL
Legal business name
WELLNESS THERAPY & MEDICAL CARE CENTER INC
Practice address
1140 W 50TH St Ste 301
Hialeah, FL 33012-3411
Phone
(305) 827-0208
Fax
(305) 827-0280
NPI assigned
Oct 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Authorized official

Name
Barbara Corvo
Title
President
Phone
(305) 827-0208

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Clinic/Center 261Q00000X HCC FL Primary

Addresses

Primary practice location

1140 W 50TH St Ste 301
Hialeah, FL 33012-3411

Mailing address

1140 W 50TH St Ste 301
Hialeah, FL 33012-3411
Phone (305) 827-0208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131205001280 FL Part B Supplier - Clinic/Group Practice 1557598182 Receives reassigned benefits from 6 practitioners
Practice locations: Hialeah, FL; Miami Lakes, FL

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 7

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": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1689984932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W 50TH ST STE 301",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123411",
            "telephone_number": "305-827-0208",
            "fax_number": "305-827-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W 50TH ST STE 301",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123411",
            "telephone_number": "305-827-0208",
            "fax_number": "305-827-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS THERAPY & MEDICAL CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "CORVO",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-827-0208"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 14, 2020; 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.