Pro Community Services Corp

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PRO COMMUNITY SERVICES CORP

Practice address

3750 W 16TH Ave Ste 138U
Hialeah, FL 33012-4661

Phone

(786) 881-0010

Fax

(305) 200-5631

NPI assigned

Sep 4, 2020

Organization subpart

No

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

Authorized official

Name

Idiana Hernandez

Title

President

Phone

(786) 370-1904

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Community mental health center certification: CCN 684634

Legal name

HOLDING FATE SERVICES LLC

Certification status

Active

Provider type (POS)

Community mental health center

Participating since

Sep 14, 2022

Last certification

Jun 15, 2022

Ownership / control type

For profit – individual

Facility address

3750 W 16TH Ave Ste 232U
Hialeah, FL 33012

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1962016048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE STE 138U",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124661",
            "telephone_number": "786-881-0010",
            "fax_number": "305-200-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE STE 138U",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124661",
            "telephone_number": "786-881-0010",
            "fax_number": "305-200-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO COMMUNITY SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "IDIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-370-1904"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Principle Care Center Inc
• Principle Care Center Inc
• Priority Care Home Health Services Inc
• Prizzy Corp
• PRN Rehabilitation Center Inc.
• Pro Dental Centers West Hialeah
• Pro Health Acupuncture
• Pro Health Care Services
• Pro Hospital Group, LLC
• Pro Med Care Service LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.