Advanced Care Services, Inc
Organization Active NPI Psychiatric Residential Treatment Facility · North Miami, FL
NPI 1902298128 · NPPES record last updated Aug 6, 2025
Key facts
- NPI
- 1902298128
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Residential Treatment Facility 323P00000X
- Legal business name
- ADVANCED CARE SERVICES, INC
- Practice address
- 1620 NE 148TH St
North Miami, FL 33181-1021 - Phone
- (305) 705-6445
- Fax
- (888) 890-6583
- NPI assigned
- Feb 25, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. David Coradin, MD,
- Title
- Cmo
- Phone
- (954) 501-5274
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2320267 | Advanced Care Services Inc | Certificate of waiver | Mar 13, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230605003331 | FL | Part B Supplier - Clinic/Group Practice | 3779940861 | Practice locations: Pembroke Pines, FL |
National Provider Directory
Locations
2796 NW 46th St
#101
Miami, FL 33142
Phone (786) 773-5987
6151 Miramar Pkwy
Ste 310
Miramar, FL 33023
Phone (954) 362-0556
1620 NE 148th St
North Miami, FL 33181
Phone (305) 705-6445
8407 Pines Blvd
Pembroke Pines, FL 33024
Phone (786) 298-7379
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | Yes |
Addresses
Primary practice location
1620 NE 148TH St
North Miami, FL 33181-1021
Mailing address
1620 NE 148TH St
North Miami, FL 33181-1021
Phone (786) 298-7379
Other practice location 1
2796 NW 46th St # 101
Miami, FL 33142-3518
Phone (786) 773-5987
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006246600 | Medicaid | FL | |
| 000441500 | Medicaid | FL |
Other names
- J&C Healthcare Center
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All providers in North Miami, FL · Psychiatric Residential Treatment Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.