NPIMap

Organization Active NPI

Community Health Center of Pinellas Inc

Doing business as Evara Health at Pinellas Heights

  • Federally Qualified Health Center (FQHC)
  • Largo, FL
National Provider Identifier
1851104236
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CENTER OF PINELLAS INC
Doing business as
Evara Health at Pinellas Heights
Practice address
11411 Ulmerton Rd
Largo, FL 33778-1620
Phone
(727) 824-8100
NPI assigned
Jan 29, 2025
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Edward Kucher
Title
Chief Reulatory Officer
Phone
(727) 824-8100

Specialties & licenses 1

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

Addresses

Primary practice location

11411 Ulmerton Rd
Largo, FL 33778-1620

Mailing address

14100 58TH St N Ste 100
Clearwater, FL 33760-9900
Phone (727) 824-8181

Other names 1

  • Evara Health at Pinellas Heights Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040131000031 FL Part B Supplier - Clinic/Group Practice 8527961028 Receives reassigned benefits from 135 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Largo, FL; Tarpon Springs, FL; St Petersburg, FL; Saint Petersburg, FL; Pinellas Park, FL; Dunedin, FL; Clearwater, FL
O20250612001373 FL Part A Provider - Federally Qualified Health Center (FQHC) 8527961028 Practice locations: Largo, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851104236. Details of each certification follow.

Federally qualified health center certification: CCN C11064

Legal name
COMMUNITY HEALTH CENTER OF PINELLAS INC
Doing business as
EVARA HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 12, 2025
Last certification
Jun 12, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
11411 Ulmerton Rd
Largo, FL 33778-1620

Other NPIs with the same Medicare PAC ID 19

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

View all 19

Other NPIs on the same Medicare enrollment 18

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

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Community Health Center of Pinellas Inc24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

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
Elodie Dorso Individual Corporate OfficerCeo Feb 2, 2018
Corporate DirectorCeo Feb 2, 2018
Edward Kucher Individual W-2 Managing EmployeeAd; Feb 27, 2021
Operational/Managerial ControlChief Regulatory Officer Jun 16, 2018

Practitioners & affiliated clinicians

Practitioners 1

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": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1851104236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 58TH ST N STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337609900",
            "telephone_number": "727-824-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337781620",
            "telephone_number": "727-824-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTER OF PINELLAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "KUCHER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF REULATORY OFFICER",
        "authorized_official_telephone_number": "727-824-8100"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evara Health at Pinellas Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.