Healthcare Provider Details

I. General information

NPI: 1720607377
Provider Name (Legal Business Name): CARE RESOURCE COMMUNITY HEALTH CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2020
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 POWERLINE RD
OAKLAND PARK FL
33309-5911
US

IV. Provider business mailing address

3510 BISCAYNE BLVD
MIAMI FL
33137-3840
US

V. Phone/Fax

Practice location:
  • Phone: 305-576-1234
  • Fax:
Mailing address:
  • Phone: 305-576-1234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN SANTIAGO
Title or Position: CEO
Credential: MD
Phone: 305-573-1234