Homestead Community Health Center, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

HOMESTEAD COMMUNITY HEALTH CENTER, INC.

Practice address

151 NW 11TH St Ste E400
Homestead, FL 33030-4360

Phone

(786) 904-4242

Fax

(786) 533-8920

NPI assigned

Dec 23, 2020

Last updated

Feb 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Gallo

Title

Ceo/Executive Director

Phone

(786) 904-4242

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Ernesto Eduardo Gomez, NP

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1073985420
  Medicare reassignment Care Compare group NPD
• Adaeze Chika Ohaeto, ARNP

  • Primary Care Nurse Practitioner
  • Homestead, FL
  • NPI 1689848053
  Medicare reassignment Care Compare group NPD
• Rosendo Collazo, D.O.

  • Internal Medicine Physician
  • Homestead, FL
  • NPI 1235163502
  Medicare reassignment NPD

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1952998015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 NW 11TH ST STE E400",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304360",
            "telephone_number": "786-595-3300",
            "fax_number": "786-533-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NW 11TH ST STE E400",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304360",
            "telephone_number": "786-904-4242",
            "fax_number": "786-533-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "GALLO",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "786-904-4242",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@homesteadcommunityclinic.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "151 NW 11th St Ste E400",
            "city": "Homestead",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330304360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Homestead Behavioral Clinic, Inc.
• Homestead Cancer Institute LLC
• Homestead Cardiac and Vein Center, Inc.
• Homestead Cares Foundation
• Homestead Chiropractic Clinic Inc
• Homestead Community Pharmacy LLC
• Homestead Community Pharmacy LLC (Homestead Community Pharmacy)
• Homestead Counseling LLC
• Homestead Diagnostic Center Inc
• Homestead Endoscopy Center LLC

• General Practice Physician in Homestead, FL
• Providers in Homestead, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.