| Homestead Community Health Center, Inc. | |
|
151 Nw 11th St Ste E400 Homestead FL 33030-4360 | |
| (786) 904-4242 | |
| (786) 533-8920 |
| Full Name | Homestead Community Health Center, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 151 Nw 11th St Ste E400, Homestead, Florida |
| Authorized Official Name and Position | Barbara Gallo (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7869044242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homestead Community Health Center, Inc. 151 Nw 11th St Ste E400 Homestead FL 33030-4360 Ph: (786) 595-3300 | Homestead Community Health Center, Inc. 151 Nw 11th St Ste E400 Homestead FL 33030-4360 Ph: (786) 904-4242 |
| NPI Number | 1952998015 |
|---|---|
| Provider Enumeration Date | 12/23/2020 |
| Last Update Date | 02/23/2023 |
| Medicare PECOS PAC ID | 9537550066 |
|---|---|
| Medicare Enrollment ID | O20220707004056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952998015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Adaeze C Ohaeto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689848053 PECOS PAC ID: 8022171057 Enrollment ID: I20090116000255 |
| Provider Name | Rosendo I Collazo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235163502 PECOS PAC ID: 3375736028 Enrollment ID: I20101026000782 |
| Provider Name | Ernesto E Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073985420 PECOS PAC ID: 9739425877 Enrollment ID: I20190110003512 |
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