Heart of Florida Health Center, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Ocala, FL
NPI 1982248134 · NPPES record last updated Feb 8, 2023
Key facts
- NPI
- 1982248134
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- HEART OF FLORIDA HEALTH CENTER, INC
- Practice address
- 2553 E Silver Springs Blvd
Ocala, FL 34470-7009 - Phone
- (352) 877-7318
- NPI assigned
- Oct 31, 2019
- Organization subpart
- No
Authorized official
- Name
- Matthew Clay
- Title
- Ceo
- Phone
- (352) 732-6599
Owners & managing parties with NPI records 6
Owned or controlled facilities with NPI records 3
Other NPIs on the same Medicare enrollment 9
Other NPIs with the same Medicare PAC ID 6
Facilities with the same owner 3
Practitioners 41
-
Kathleen Ann Dibble, FNP, PMHNP
-
Martha Alvarez, FNP-BC
-
Bridget McGill Boynton, ARNP
-
Megan Buncie, APRN
-
Brandi Leigh Butler, FNP
-
Duane William Cunningham, ARNP
-
Nicholas Dorsey, M.D.
-
Norine Lynn Faatz, APRN
-
Vivi Shahin Fretland, O.D.
-
Jennifer Elaine Hale, PMHNP
-
Kristi G Lipps, ARNP
-
Alfonso E Martinez, M.D.
-
Elvira Silveria Mercado, M.D.
-
Alina Maria Monsalve, ARPN
-
Amy Diane Morgan, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL
Federally qualified health center certification: CCN 681165
- Legal name
- HEART OF FLORIDA HEALTH CENTER, INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 5, 2019
- Last certification
- Dec 5, 2019
- Ownership / control type
- For profit – partnership
- Organization structure
- Corporation · Non-profit
- Incorporated
- Oct 1, 1991 in FL
- Enrollment address
- 2553 E Silver Springs Blvd
Ocala, FL 34470-7009
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Heart of Florida Health Center, Inc |
5% Or Greater Direct Ownership Interest | Apr 19, 1991 | 100% |
| Dana Schultz |
Corporate Officer |
Jun 12, 2018 | |
| W-2 Managing Employee |
Jun 12, 2018 | ||
| Operational/Managerial Control |
Jun 12, 2018 | ||
| Matthew W Clay |
Corporate Officer |
Jan 17, 2023 | |
| Corporate Director |
Jan 17, 2023 | ||
| W-2 Managing Employee |
Jan 17, 2023 | 100% | |
| Operational/Managerial Control |
Jan 17, 2023 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Heart of Florida Health Center, Inc |
Federally qualified health center | Operational/Managerial Control | Jun 2, 2018 |
| Heart of Florida Health Center, Inc |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jun 2, 2018 |
| Heart of Florida Health Center, Inc |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 23, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080523000427 | FL | Part B Supplier - Clinic/Group Practice | 1355410838 |
Receives reassigned benefits from 84 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ocala, FL; Reddick, FL; Dunnellon, FL; Belleview, FL |
| O20191205000534 | FL | Part a Provider - Federally Qualified Health Center (FQHC) | 1355410838 | Practice locations: Ocala, FL |
National Provider Directory
Locations
203 E Silver Springs Blvd
Ste 101
Ocala, FL 34470
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | |||
| General Practice Physician |
208D00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
2553 E Silver Springs Blvd
Ocala, FL 34470-7009
Mailing address
2553 E Silver Springs Blvd
Ocala, FL 34470-7009
Phone (352) 732-6599
Other providers in Ocala, FL
- Heart of Florida Health Center, Inc
- Heart of Florida Health Center, Inc
- Heart of Florida Health Center, Inc
- Heart of Florida Health Center, Inc
- Heart of Florida Health Center, Inc
- Heart of Zora
- Heart Space Counseling & Consulting LLC
- Heartfelt Services, Inc.
- Heartfelt Services, Inc.
- Hearts Afire Counseling LLC
All providers in Ocala, FL · Federally Qualified Health Center (FQHC) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2023. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.