Active NPI
Can Community Health, Inc.
- Infectious Disease Physician
- Miami Gardens, FL
National Provider Identifier
1699342949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- CAN COMMUNITY HEALTH, INC.
- Practice address
- 18360 NW 47TH Ave
Miami Gardens, FL 33055-2934 - Phone
- (786) 800-5631
- Fax
- (888) 285-1741
- NPI assigned
- Jun 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rishi B Patel
- Title
- President & Ceo
- Phone
- (941) 300-4440
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Infectious Disease Physician | 207RI0200X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
18360 NW 47TH Ave
Miami Gardens, FL 33055-2934
Mailing address
PO Box 1000 Dept 394
Memphis, TN 38148-1926
Phone (941) 300-4440
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057256038 | Medicaid | FL | |
| 21725 | Other | FL BCBS GROUP # |
National Provider Directory
National Provider Directory- Tax ID family
- Comprehensive Care Center Inc North Port
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706572800000",
"number": "1699342949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000 DEPT 394",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381481926",
"telephone_number": "941-300-4440",
"fax_number": "941-404-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18360 NW 47TH AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330552934",
"telephone_number": "786-800-5631",
"fax_number": "888-285-1741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAN COMMUNITY HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-07",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "RISHI",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "941-300-4440"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "057256038",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL BCBS GROUP #",
"identifier": "21725",
"state": null
}
],
"endpoints": [],
"other_names": []
}
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 Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.