|
| |
|
15260 Sw 280th St Suite 205 Homestead FL 33032-8185 | |
| (754) 281-2816 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 15260 Sw 280th St, Homestead, Florida |
| Authorized Official Name and Position | Hector Hernandez (MGR) |
| Authorized Official Contact | 7867185963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
15260 Sw 280th St Suite 205 Homestead FL 33032-8185 Ph: () - | 15260 Sw 280th St Suite 205 Homestead FL 33032-8185 Ph: (754) 281-2816 |
| NPI Number | 1487003703 |
|---|---|
| Provider Enumeration Date | 06/07/2016 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Medicare PECOS PAC ID | 4789098740 |
|---|---|
| Medicare Enrollment ID | O20210202003198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487003703 | NPI | - | NPPES |
| Provider Name | Carolyn F Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861680936 PECOS PAC ID: 7315902673 Enrollment ID: I20041130000744 |
| Provider Name | Hamlet R Hassan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326128323 PECOS PAC ID: 1153377452 Enrollment ID: I20050331000096 |
Devonear Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 N Krome Ave Ste 405, Homestead, FL 33030 Phone: 305-246-0210 Fax: 305-246-0310 | |
Leap Home Care Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25343 Sw 121st Ct, Homestead, FL 33032 Phone: 786-406-2937 | |
Bright Start Aba Services 2 Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15041 Sw 299th St, Homestead, FL 33033 Phone: 786-315-8971 | |
Ramirez Alejo Health Care Service Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1621 Nw 14th Ave, Homestead, FL 33030 Phone: 786-710-4665 | |
Homestead Aba Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 541 Se 34th Ter, Homestead, FL 33033 Phone: 305-397-3815 | |
Brown Consults Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 N Krome Ave Ste 405, Homestead, FL 33030 Phone: 305-246-0210 | |
Creative Community Mental Health Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 381 N Krome Ave Ste 206, Homestead, FL 33030 Phone: 786-601-9202 Fax: 786-668-6398 |