NPIMap

Organization Active NPI

Healing Touch C&C Inc

  • Health Service Clinic/Center
  • Hialeah, FL
National Provider Identifier
1720026628
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
HEALING TOUCH C&C INC
Practice address
4385 W 16TH Ave
Hialeah, FL 33012-7628
Phone
(305) 824-0637
Fax
(305) 824-0628
NPI assigned
Jun 3, 2006
Last updated
Apr 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Carlos Ivan Bermudez
Title
President & Ceo
Phone
(305) 824-0637

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X P03000086345 FL
Health Service Clinic/Center 261QH0100X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X P03000086345 FL

Addresses

Primary practice location

4385 W 16TH Ave
Hialeah, FL 33012-7628

Mailing address

4385 W 16TH Ave
Hialeah, FL 33012-7628
Phone (305) 824-0637

Other practice location 1

15100 NW 67th Ave Ste 203
Miami Lakes, FL 33014-2103
Phone (305) 631-2405

Other practice location 2

12905 SW 42nd St Ste 103
Miami, FL 33175-2910
Phone (305) 824-0637

Other identifiers 4

IdentifierTypeStateIssuer
016865900MedicaidFL
102831200MedicaidFL
018097400MedicaidFL
119606500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060419000470 FL Part B Supplier - Clinic/Group Practice 7214946268 Receives reassigned benefits from 32 practitioners
Practice locations: Hialeah, FL; Miami, FL; Miami Lakes, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2094422Healing Touch C and C Inc15100 NW 67TH Ave Suite 203, Miami Lakes, FL 33014Certificate of waiverApr 15, 2027
10D2301040Healing Touch C & C Inc12905 SW 42ND Street Suite 103, Miami, FL 33175Certificate of waiverMar 19, 2028

National Provider Directory

National Provider Directory

Locations

15100 NW 67th Ave
Ste 203
Miami Lakes, FL 33014
Phone (305) 631-2405

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1720026628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4385 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127628",
            "telephone_number": "305-824-0637",
            "fax_number": "305-824-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4385 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127628",
            "telephone_number": "305-824-0637",
            "fax_number": "305-824-0628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15100 NW 67th Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142103",
            "country_code": "US",
            "telephone_number": "305-631-2405",
            "fax_number": "786-558-7505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12905 SW 42nd St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331752910",
            "country_code": "US",
            "telephone_number": "305-824-0637",
            "fax_number": "305-824-0628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING TOUCH C&C INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "305-824-0637"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "P03000086345",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "P03000086345",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016865900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102831200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018097400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119606500",
            "state": "FL"
        }
    ],
    "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 Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.