Healthcare Provider Details

I. General information

NPI: 1730291667
Provider Name (Legal Business Name): HEALTH CARE CENTER FOR THE HOMELESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 N ORANGE BLOSSOM TRL
ORLANDO FL
32805-1612
US

IV. Provider business mailing address

232 N ORANGE BLOSSOM TRL
ORLANDO FL
32805-1612
US

V. Phone/Fax

Practice location:
  • Phone: 407-428-5751
  • Fax: 407-428-6204
Mailing address:
  • Phone: 407-428-5751
  • Fax: 407-428-6204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License NumberPH21809
License Number StateFL

VIII. Authorized Official

Name: BAKARI BURNS
Title or Position: CEO
Credential: RPH
Phone: 407-428-5751