MEDICARE: BEST COMMUNITY MENTAL HEALTH CORP.

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
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023604337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST COMMUNITY MENTAL HEALTH CORP.

Provider Business Mailing Address
First Line	:	1165 W 49TH ST STE 207
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3373
Country	:	US
Telephone Number	:	786-780-8443
Fax Number	:

Provider Business Practice Location Address
First Line	:	1165 W 49TH ST STE 207
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3373
Country	:	US
Telephone Number	:	786-780-8443
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. LAZARO HERNANDEZ
Credential	:
Telephone Number	:	786-780-8443

Provider Enumeration Date	:	12/21/2020
Last Update Date	:	04/11/2022

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