ADVANCED CARE SERVICES INC NPI 1902298128

NPI Information

NPI: 1902298128
Provider Name: ADVANCED CARE SERVICES, INC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Doing Business As: J&C HEALTHCARE CENTER
CLIA Number: 10D2215001
Address: 1620 NE 148TH ST
NORTH MIAMI, FL
ZIP 33181
Phone: (305) 705-6445

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NPI Details

ADVANCED CARE SERVICES, INC is a primary care clinic center in North Miami, FL. ADVANCED CARE SERVICES, INC NPI is 1902298128. The provider is registered as an organization entity type.
The provider Is Doing Business As J&c Healthcare Center.

The provider's business location address is:

1620 NE 148TH ST
NORTH MIAMI, FL
ZIP 33181-021
Phone: (305) 705-6445
Fax: (888) 890-6583

The provider's authorized official is David Coradin .
The authorized official title is Cmo and has the following contact phone number (954) 501-5274.

The CLIA number assigned to this NPI record is 10D2215001 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2015 and was last updated on 1/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251B00000X	Case Management		No
2	251S00000X	Community/Behavioral Health		No
3	261QP2300X	Clinic/Center	Primary Care	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	006246600	MEDICAID	FLORIDA
2	000441500	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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