NPIMap

Organization Active NPI

Chen Neighborhood Medical Centers of South Florida, LLC

  • Specialist
  • Miami Gardens, FL
National Provider Identifier
1881024800
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA, LLC
Practice address
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone
(305) 628-6117
NPI assigned
Nov 13, 2013
Last updated
Jul 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Daniella Houston
Title
Credentialing
Phone
(305) 628-6117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1395 NW 167TH St
Miami Gardens, FL 33169-5710

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140324001909 FL Part B Supplier - Clinic/Group Practice 2860623436 Receives reassigned benefits from 219 practitioners
11 other NPIs on this enrollment
Practice locations: Plantation, FL; Pembroke Pines, FL; Hialeah, FL; Opa Locka, FL; Oakland Park, FL; North Miami Beach, FL; North Miami, FL; North Lauderdale, FL…

Other NPIs on the same Medicare enrollment 11

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

National Provider Directory

National Provider Directory
Tax ID family
Chen Neighborhood Medical Aventura LLC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

2589 N State Road 7
Lauderdale Lakes, FL 33313
Phone (954) 714-1264

7401 W Commercial Blvd
Lauderhill, FL 33319
Phone (954) 644-8800

14261 SW 120th St
Ste 112
Miami, FL 33186
Phone (305) 378-1302

2445 NW 62nd St
Miami, FL 33147
Phone (305) 585-9200

3460 N Andrews Ave
Oakland Park, FL 33309
Phone (954) 947-3227

401 Opa Locka Blvd
Opa Locka, FL 33054
Phone (786) 535-7200

10280 Pines Blvd
#P701
Pembroke Pines, FL 33026
Phone (954) 323-8446

Networks

  • HealthSun Health Plans Network

Ownership & related parties

Subparts reporting this organization as parent 22

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 22

Practitioners & affiliated clinicians

Practitioners 228

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.

View all 228

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1881024800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "DANIELLA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "305-628-6117"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.