The Poverello Center Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

2005-06 Issued in FL

Legal business name

THE POVERELLO CENTER INC

Practice address

2056 N Dixie Hwy
Wilton Manors, FL 33305-2270

Phone

(954) 561-3663

Fax

(954) 213-6597

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas M Smith, LCSW

Title

Ceo

Phone

(954) 213-6597

Specialties & licenses 1

Addresses

Other names 1

• Poverello Food and Nutrition Center Other name

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Guillermo Edgardo Guerra, APRN

  • Family Nurse Practitioner
  • Wilton Manors, FL
  • NPI 1992824692
  NPD
• James N Luckett, MD

  • Internal Medicine Physician
  • Ft Lauderdale, FL
  • NPI 1114938495
  NPD

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1821021361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2056 N DIXIE HWY",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333052270",
            "telephone_number": "954-561-3663",
            "fax_number": "954-213-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2056 N DIXIE HWY",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333052270",
            "telephone_number": "954-561-3663",
            "fax_number": "954-213-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE POVERELLO CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-213-6597",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "2005-06",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poverello Food and Nutrition Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Poverello Food and Nutrition Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thomas James Tanner
• Reynier Tapanes Rodriguez, APRN
• Todd Michael Tedrow, LCSW
• The 5 Elements Spa & Longevity Center
• The Blufyre Wellness Company
• The Senior Spot
• The Twelve for Children and Families of Florida, Inc.
• Aprit Thomas
• Ashton Pierce Thompson, D.O.
• Mikala L Thompson

• Voluntary or Charitable Agency in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Voluntary or Charitable Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.