NPIMap

Foundcare, Inc.

Organization Active NPI Psychiatry Physician · West Palm Beach, FL

NPI 1821679549 · NPPES record last updated Dec 17, 2024

Key facts

NPI
1821679549
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatry Physician 2084P0800X
Legal business name
FOUNDCARE, INC.
Practice address
5730 Corporate Way Ste 100
West Palm Beach, FL 33407-2032
Phone
(561) 863-7800
NPI assigned
Apr 15, 2021
Organization subpart
No

Authorized official

Name
Christopher Francis Irizarry
Title
Ceo
Phone
(561) 432-7901

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 8

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

Other NPIs with the same Medicare PAC ID 8

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

Corporate family (same tax ID) 13

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

Practitioners 22

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in FL

Federally qualified health center certification: CCN 681809

Legal name
FOUNDCARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 4, 2021
Last certification
May 4, 2021
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Jun 15, 2002 in FL
Enrollment address
5730 Corporate Way
Ste 100
West Palm Beach, FL 33407-2032

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
Stephanie Carden
Individual 		Corporate Officer
Board of Directors		 Sep 10, 2020
Mirion Ebanks
Individual 		Corporate Officer
Board of Director		 Feb 13, 2020
David W Dodson
Individual 		Corporate Officer
Board of Director		 Mar 1, 2010
Paul Gordon
Individual 		Corporate Officer
Board of Director		 Jan 1, 2010
Marcia Howard
Individual 		Corporate Director
Treasurer, Board of Director		 Dec 12, 2019
Eric Diaz
Individual 		Corporate Officer
Board of Director		 Aug 14, 2014
Bertha Condes
Individual 		Corporate Officer
Board of Director		 Dec 1, 2010
Moise Anglade
Individual 		Corporate Director
VP, Board of Directors		 Oct 11, 2018
Yolette Bonnet
Individual 		Corporate Director
President & Ceo		 Apr 1, 2012
W-2 Managing Employee
President & Ceo		 Apr 1, 2012

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20091012000436 FL Part B Supplier - Clinic/Group Practice 7911043542 Receives reassigned benefits from 47 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Belle Glade, FL; West Palm Beach, FL; Palm Springs, FL; Riviera Beach, FL; Boynton Beach, FL; North Palm Beach, FL
O20210504000016 FL Part a Provider - Federally Qualified Health Center (FQHC) 7911043542 Practice locations: West Palm Beach, FL

National Provider Directory

Tax ID family
Foundcare Inc (14 organizations share this tax ID)

Networks

  • HealthSun Health Plans Network
  • Optimum HealthCare HMO Network
    Plans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO Network
    Plans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084P0800X Yes
Federally Qualified Health Center (FQHC) 261QF0400X

Addresses

Primary practice location

5730 Corporate Way Ste 100
West Palm Beach, FL 33407-2032

Mailing address

2330 S Congress Ave
West Palm Beach, FL 33406-7608
Phone (561) 432-5849

Other providers in West Palm Beach, FL

All providers in West Palm Beach, FL · Psychiatry Physician in Florida

Sources for this page

Verify at the official NPI Registry.