MEDICARE: SWEET START COMMUNITY WELLNESS CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578210316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEET START COMMUNITY WELLNESS CENTER, INC.

Provider Business Mailing Address
First Line	:	5911 NW 173RD DR UNIT 6
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-5122
Country	:	US
Telephone Number	:	786-876-5198
Fax Number	:	786-907-4140

Provider Business Practice Location Address
First Line	:	5911 NW 173RD DR UNIT 6
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-5122
Country	:	US
Telephone Number	:	786-876-5198
Fax Number	:	786-907-4140

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RAUL SILVA
Credential	:
Telephone Number	:	786-380-9229

Provider Enumeration Date	:	03/02/2022
Last Update Date	:	01/14/2026

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Directions to “SWEET START COMMUNITY WELLNESS CENTER, INC. ” Practice Location

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