Organization Active NPI

Professionals Caring for Humanity Inc

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1750827531
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PROFESSIONALS CARING FOR HUMANITY INC
Practice address
9421 S Orange Blossom TRL # 19
Orlando, FL 32837-8320
Phone
(407) 601-2527
Fax
(407) 674-6640
NPI assigned
Jan 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Larry De Jesus, ADMINISTRATOR
Title
DCP
Phone
(305) 644-4410

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

9421 S Orange Blossom TRL # 19
Orlando, FL 32837-8320

Mailing address

10 NW 42ND Ave Ste 220
Miami, FL 33126-5475
Phone (305) 644-4410

Other names 1

  • PROFESSIONALS CARING FOR HUMANITY INC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201030001432 FL Part B Supplier - Clinic/Group Practice 5890105993 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL; Orlando, FL

National Provider Directory

National Provider Directory

Locations

10 NW 42nd Ave
Ste 220
Miami, FL 33126

9421 S Orange Blossom Trl
Ste 19
Orlando, FL 32837
Phone (407) 601-2527

Practitioners & affiliated clinicians

Practitioners 3

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": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1750827531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NW 42ND AVE STE 220",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265475",
            "telephone_number": "305-644-4410",
            "fax_number": "305-644-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9421 S ORANGE BLOSSOM TRL # 19",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378320",
            "telephone_number": "407-601-2527",
            "fax_number": "407-674-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONALS CARING FOR HUMANITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "DCP",
        "authorized_official_telephone_number": "305-644-4410",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONALS CARING FOR HUMANITY INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "PROFESSIONALS CARING FOR HUMANITY INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.