NPIMap

Organization Active NPI

Treasure Coast Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Fellsmere, FL
National Provider Identifier
1891740916
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TREASURE COAST COMMUNITY HEALTH INC
Practice address
12196 County Road 512
Fellsmere, FL 32948-5463
Phone
(772) 257-8224
Fax
(772) 252-3245
NPI assigned
May 24, 2006
Last updated
Feb 6, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
TREASURE COAST COMMUNITY HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Heather Miranda
Title
Interim Ceo
Phone
(772) 257-8224

Specialties & licenses 1

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

Addresses

Primary practice location

12196 County Road 512
Fellsmere, FL 32948-5463

Mailing address

1555 Indian River Blvd Ste B210
Vero Beach, FL 32960-7113
Phone (772) 257-8224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20080522000045 FL Part A Provider - Federally Qualified Health Center (FQHC) 4082625827 Practice locations: Fellsmere, FL
O20110622000110 FL Part A Provider - Federally Qualified Health Center (FQHC) 4082625827 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Vero Beach, FL
O20130401000508 FL Part B Supplier - Clinic/Group Practice 4082625827 Receives reassigned benefits from 70 practitioners
9 other NPIs on this enrollment
Practice locations: Vero Beach, FL; Fellsmere, FL; Sebastian, FL
O20191016001078 FL Part A Provider - Federally Qualified Health Center (FQHC) 4082625827 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Vero Beach, FL

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1891740916. Details of each certification follow.

Federally qualified health center certification: CCN 101912

Legal name
TREASURE COAST COMMUNITY HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 3, 1995
Last certification
Oct 3, 1995
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1995 in FL
Enrollment address
12196 County Road 512
Fellsmere, FL 32948-5463

Federally qualified health center certification: CCN 101067

Legal name
TREASURE COAST COMMUNITY HEALTH INC
Organization structure
CorporationNon-profit
Incorporated
Oct 8, 1993 in FL
Enrollment address
1545 9TH St SW
Vero Beach, FL 32962-4312

Federally qualified health center certification: CCN 681154

Legal name
TREASURE COAST COMMUNITY HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 16, 2019
Last certification
Oct 16, 2019
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Enrollment address
1400 27TH St
Vero Beach, FL 32960-0303

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 9

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

National Provider Directory

National Provider Directory
Part of
Treasure Coast Community Health Inc

Locations

1400 27th St
Vero Beach, FL 32960

Ownership & related parties

All disclosed owners & managing parties 29

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

NameRoleSinceShare
Ernestine Williams Individual Corporate DirectorBoard of Directors Jan 1, 2019
Corporate DirectorBoard of Directors Jan 1, 2022
Corporate DirectorVoluntary Member Board of Directors Jan 1, 2019
Cheryl Michel Individual Corporate DirectorBoard of Directors Jan 1, 2019
Vera Smith Individual Corporate DirectorBoard of Directors Jan 1, 2019
Corporate DirectorBoard of Directors Jan 1, 2022
Corporate DirectorVoluntary Member Board of Directors Jan 1, 2019
Debra Jackson Hester Individual Corporate DirectorBoard of Directors Jan 1, 2019
Corporate DirectorBoard of Directors Jan 1, 2022
Theda Holland Individual Corporate DirectorBoard of Directors Jan 1, 2017
Corporate DirectorVoluntary Member Board of Directors Jan 1, 2019
Revis Akers Individual Corporate DirectorBoard of Directors Jan 1, 2019
Corporate DirectorBoard of Directors Jan 1, 2022
Corporate DirectorVoluntary Member Board of Directors Jan 1, 2019
Walter H Janke Individual Corporate DirectorBoard of Directors Jan 1, 2017
Judith Miller Individual Corporate DirectorBoard of Directors Jan 1, 2017
Corporate DirectorVoluntary Member Board of Directors Jan 1, 2019
Heather Miranda Individual Corporate OfficerCeo Nov 7, 2025
W-2 Managing EmployeeCeo Nov 7, 2025 100%
James Parla Individual Corporate DirectorBoard of Directors Jan 1, 2019
Corporate DirectorBoard of Directors Jan 1, 2022
Trisha Cartwright Individual Corporate DirectorBoard of Directors Jan 1, 2017
Migdalia Rodriguez-McDonald Individual Corporate DirectorBoard of Directors Jan 1, 2019
Corporate DirectorBoard of Directors Jan 1, 2022
Ida Lawes Individual Corporate DirectorBoard of Directors Jan 1, 2019
Elisa Sielinski Individual Corporate DirectorBoard of Directors Jan 1, 2019
Corporate DirectorBoard of Directors Jan 1, 2022
Wilfred Hart Individual Corporate DirectorBoard of Directors Jan 1, 2022
Corporate DirectorVoluntary Member Board of Directors Sep 25, 2019
Carmen Lies Individual Corporate DirectorBoard of Directors Jan 1, 2022
Francisco Magna Individual Corporate DirectorBoard of Directors Jan 1, 2022
Tina Nicholson Individual Corporate DirectorBoard of Directors Jan 1, 2022
Corporate Director Jan 1, 2025
Brenda Doninger-Bradley Individual Corporate DirectorBoard of Directors Jan 1, 2022
Ed Fialrowski Individual Corporate Director Jan 1, 2025
Mary Lintermann Individual Corporate Director Jan 1, 2025
Trevor Loomis Individual Corporate Director Jan 1, 2025
Mary Spear Individual Corporate Director Jan 1, 2025
Susan Thompson Individual Corporate Director Jan 1, 2025
Wanda E Major Individual Corporate Director Jan 1, 2025
Warren Fuller Individual Corporate Director Jan 1, 2025
Andrea Barkett Individual Corporate Director Jan 1, 2025
Kelly Cambon Individual Corporate Director Jan 1, 2025
Michele Miller Individual Corporate Director Jan 1, 2025

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
Treasure Coast Community Health IncSebastian, FL, CCN 681077 Federally qualified health center Operational/Managerial Control Dec 27, 2016
Treasure Coast Community Health IncVero Beach, FL, CCN 681134 Federally qualified health center Operational/Managerial Control Oct 19, 2018
Treasure Coast Community Health IncVero Beach, FL, CCN 681153 Federally qualified health center Operational/Managerial Control (100%) Aug 26, 2019
Treasure Coast Community Health IncVero Beach, FL, CCN C11074 Federally qualified health center Operational/Managerial Control Sep 8, 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 79

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 79

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1891740916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 INDIAN RIVER BLVD STE B210",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607113",
            "telephone_number": "772-257-8224",
            "fax_number": "772-252-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12196 COUNTY ROAD 512",
            "city": "FELLSMERE",
            "state": "FL",
            "postal_code": "329485463",
            "telephone_number": "772-257-8224",
            "fax_number": "772-252-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST COMMUNITY HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TREASURE COAST COMMUNITY HEALTH INC",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "772-257-8224"
    },
    "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 Fellsmere, FL

Sources for this page

Verify at the official NPI Registry.