MEDICARE: HEALTH CARE CENTER FOR THE HOMELESS, 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	261QF0400X	Federally Qualified Health Center (FQHC)

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	:	1033982566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH CARE CENTER FOR THE HOMELESS, INC.

Provider Business Mailing Address
First Line	:	232 N ORANGE BLOSSOM TRL
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32805-1612
Country	:	US
Telephone Number	:	407-428-5751
Fax Number	:	407-428-6204

Provider Business Practice Location Address
First Line	:	232 N ORANGE BLOSSOM TRL
Second Line	:	MDU3
City	:	ORLANDO
State	:	FL
Zip	:	32805-1612
Country	:	US
Telephone Number	:	407-428-5751
Fax Number	:	407-428-6204

Authorized Official
Title or Position	:	CEO
Name	:	BARKARI F BURNS
Credential	:	MPH,MBA
Telephone Number	:	407-428-5751

Provider Enumeration Date	:	11/06/2023
Last Update Date	:	03/16/2026

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232 N ORANGE BLOSSOM TRL , MMU2
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232 N ORANGE BLOSSOM TRL
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1538102785 — DR. JOHNNY BOYD SANDIFER D.M.D.
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234 N ORANGE BLOSSOM TRL
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1730291667 — HEALTH CARE CENTER FOR THE HOMELESS INC
Practice Location Address:

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Practice Phone: 407-428-5751
Practice Fax: 407-428-6204

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