NPIMap

Organization Active NPI

Whole Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Vero Beach, FL
National Provider Identifier
1841979846
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WHOLE FAMILY HEALTH CENTER, INC.
Practice address
827 18TH St
Vero Beach, FL 32960-6481
Phone
(877) 345-9342
Fax
(772) 925-8199
NPI assigned
Jul 17, 2023
Last updated
Jul 18, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WHOLE FAMILY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Marie Andress
Title
Chief Executive Officer
Phone
(772) 925-8200

Specialties & licenses 1

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

Addresses

Primary practice location

827 18TH St
Vero Beach, FL 32960-6481

Mailing address

827 18TH St
Vero Beach, FL 32960-6481
Phone (772) 925-8200

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040227000663 FL Part B Supplier - Clinic/Group Practice 5496641169 Receives reassigned benefits from 41 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Pierce, FL; Vero Beach, FL
O20240208000900 FL Part A Provider - Federally Qualified Health Center (FQHC) 5496641169 Practice locations: Vero Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841979846. Details of each certification follow.

Federally qualified health center certification: CCN C11008

Legal name
WHOLE FAMILY HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 8, 2024
Last certification
Feb 8, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 15, 1997 in FL
Enrollment address
827 18TH St
Vero Beach, FL 32960-6481

Other NPIs with the same Medicare PAC ID 6

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.

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
10D2287722Whole Family Health Center, Inc827 18TH Street, Vero Beach, FL 32960Certificate of waiverAug 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Whole Family Health Center11 organizations share this tax ID, including this one
Part of
Whole Family Health Center

Other organizations with this tax ID 10

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

Locations

827 18th St
Vero Beach, FL 32960
Phone (772) 925-8190

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Gerald Pierone Individual Corporate OfficerChief Medical Officer May 25, 2020
Marie Andress Individual Corporate OfficerChief Executive Officer Jul 30, 2018
Operational/Managerial ControlChief Executive Officer Jul 30, 2018

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Whole Family Health Center IncFort Pierce, FL, CCN 681115 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 15, 1997
Whole Family Health Center IncVero Beach, FL, CCN 681116 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 15, 1997
Whole Family Health Center IncVero Beach, FL, CCN 691008 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 15, 1997
Whole Family Health Center IncVero Beach, FL, CCN C11076 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Aug 20, 2025

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1841979846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 18TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606481",
            "telephone_number": "772-925-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 18TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606481",
            "telephone_number": "877-345-9342",
            "fax_number": "772-925-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHOLE FAMILY HEALTH CENTER, INC.",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "ANDRESS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "772-925-8200"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.