Organization Active NPI

Compassionate Health Center LLC

  • Family Nurse Practitioner
  • Cooper City, FL
National Provider Identifier
1922858042
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
COMPASSIONATE HEALTH CENTER LLC
Doing business as
Divine Med Spa & Clinic
Practice address
8684 Griffin Rd
Cooper City, FL 33328-3713
Phone
(954) 856-2364
Fax
(954) 766-1819
NPI assigned
Mar 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Dr. Adeline Pierre, APRNNPI 1497347025
Title
Owner
Phone
(954) 681-1470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

8684 Griffin Rd
Cooper City, FL 33328-3713

Mailing address

8684 Griffin Rd # 8B
Cooper City, FL 33328-3713
Phone (954) 856-2364

Other names 1

  • Divine Med Spa & Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240508000966 FL Part B Supplier - Clinic/Group Practice 1456792449 Receives reassigned benefits from 1 practitioner
Practice locations: Cooper City, FL

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
10D2298252Compassionate Health Center LLC8684 Griffin Road, Cooper City, FL 33328Certificate of waiverJan 30, 2028

National Provider Directory

National Provider Directory

Locations

8684 Griffin Rd
Cooper City, FL 33328
Phone (954) 681-1470

8684 Griffin Rd
#8B
Cooper City, FL 33328
Phone (954) 856-2364

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1922858042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8684 GRIFFIN RD # 8B",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283713",
            "telephone_number": "954-856-2364",
            "fax_number": "954-766-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8684 GRIFFIN RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283713",
            "telephone_number": "954-856-2364",
            "fax_number": "954-766-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "ADELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-681-1470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Med Spa & Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.