NPIMap

Organization Active NPI

Broward Community and Family Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Hollywood, FL
National Provider Identifier
1730121435
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
0612604 Issued in FL
Legal business name
BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC
Practice address
5010 Hollywood Blvd
100B
Hollywood, FL 33021-6557
Phone
(954) 967-0028
Fax
(954) 971-9503
NPI assigned
Jun 10, 2006
Last updated
Oct 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Rosalyn R. Frazier
Title
Ceo
Phone
(954) 967-0028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 0612604 FL Primary

Addresses

Primary practice location

5010 Hollywood Blvd
100B
Hollywood, FL 33021-6557

Mailing address

5010 Hollywood Blvd
100B
Hollywood, FL 33021-6557
Phone (954) 967-0028

Other identifiers 3

IdentifierTypeStateIssuer
680027100MedicaidFL
680027101MedicaidFL
57395OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041020000942 FL Part B Supplier - Clinic/Group Practice 9032170345 Receives reassigned benefits from 26 practitioners
6 other NPIs on this enrollment
Practice locations: West Park, FL; Pompano Beach, FL; Lauderhill, FL; Hollywood, FL
O20081021000082 FL Part A Provider - Federally Qualified Health Center (FQHC) 9032170345 Practice locations: Hollywood, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730121435. Details of each certification follow.

Federally qualified health center certification: CCN 101932

Legal name
BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 21, 2000
Last certification
Dec 21, 2000
Ownership / control type
For profit – individual
Organization structure
CorporationNon-profit
Incorporated
Jan 14, 1998 in FL
Enrollment address
5010 Hollywood Blvd
Ste 100B
Hollywood, FL 33021-6557

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Broward Community and Family Health Centers Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lonnise Baldwin Individual Corporate DirectorBoard of Directors May 23, 2008
Felicia Brunson Individual Corporate DirectorBoard of Directors May 1, 2007
Arthur Rogers Individual Corporate DirectorBoard of Directors May 23, 2008
Alvin Kelly Individual Corporate DirectorBoard of Directors Jan 1, 2015
Monique Tavares Individual Corporate DirectorBoard of Directors Mar 31, 2014
Joseph Browne Individual Corporate DirectorBoard of Directors Mar 31, 2014
Suze Ernest Individual Corporate DirectorBoard of Directors Jan 1, 2015
Rosalyn Frazier Individual Corporate DirectorPresident/Ceo May 23, 2008
W-2 Managing EmployeePresident/Ceo May 23, 2008 100%
Fernando Miranda Individual Corporate DirectorBoard of Directors May 23, 2008

Practitioners & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1730121435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 HOLLYWOOD BLVD",
            "address_2": "100B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216557",
            "telephone_number": "954-967-0028",
            "fax_number": "954-971-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 HOLLYWOOD BLVD",
            "address_2": "100B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216557",
            "telephone_number": "954-967-0028",
            "fax_number": "954-971-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-967-0028"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "FL",
            "license": "0612604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680027100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680027101",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57395",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.