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PROVIDENCE COMMUNITY HEALTH LLC
NPI 1093471815
Nurse Practitioner in Palm Springs, FL

Active since November 16, 2021CLIA 10D2242819 · Waiver
2150 S CONGRESS AVE, PALM SPRINGS, FL 33406(561) 515-7759(561) 833-1101 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Community Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE COMMUNITY HEALTH LLC (NPI 1093471815) is a healthcare organization registered as a nurse practitioner in Palm Springs, Florida and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through November 11, 2027 and lists Saul Ernest, Owner, as its authorized official.

NPPES Registry Identity

NPI1093471815
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePROVIDENCE COMMUNITY HEALTH LLC
Location Address2150 S CONGRESS AVEPalm Springs, FL 33406-7604
Mailing Address2150 S Congress AvePalm Springs, FL 33406-7604 · (561) 515-7759 · Fax (561) 833-1101
Phone(561) 515-7759
Fax(561) 833-1101
Organization SubpartNo
Authorized OfficialSaul ErnestOwner · (561) 515-7759
Enumeration DateNovember 16, 2021
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1093471815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2150 S CONGRESS AVE, Palm Springs, FL 33406
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2242819

Providence Community Health, LLC · Palm Springs, FL
Active · expires Nov 11, 2027
CLIA Number10D2242819
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2025
Certificate Expiration DateNovember 11, 2027
Laboratory DirectorAlphonse Giloux Dufreny
Laboratory Phone(561) 619-3891
Laboratory LocationProvidence Community Health, LLC2150 S Congress Ave, Palm Springs, FL 33406
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ORIENTALOS VOLMAR D.C
Chiropractor
2150 S CONGRESS AVE
PALM SPRINGS, FL 33406
Palm Beach County (574) 229-2388
PALM BEACH HOME HEALTH INC
Home Health
2150 S CONGRESS AVE
W PALM BEACH, FL 33406
Palm Beach County (561) 963-5544
PALM BEACH ORTHOPAEDIC SPECIALISTS, INC
Clinic/Center (Medical Specialty)
2150 S CONGRESS AVE
PALM SPRINGS, FL 33406
Palm Beach County (561) 965-5200
RTL REHAB CLINIC INC
Rehabilitation Unit
2150 S CONGRESS AVE
PALM SPRINGS, FL 33406
Palm Beach County (561) 963-9001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Community Health LLC's NPI number?

The NPI number for Providence Community Health LLC is 1093471815. It was assigned to this organization in the NPPES registry on November 16, 2021.

Where is Providence Community Health LLC located?

Providence Community Health LLC is located at 2150 S Congress Ave, Palm Springs, FL 33406. The listed phone number is (561) 515-7759.

What is Providence Community Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Providence Community Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2242819) is associated with this NPI, valid through November 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Providence Community Health LLC was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.