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

Q: 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.

Q: What is Providence Community Health LLC's specialty?

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

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: October 18, 2026.

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Community Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Providence Community Health LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Alphonse Dufreny, MD

General Practice

NPI 1356311922

175 SOUTH SR7
Margate, FL 33068

(954) 586-4343

✔ PECOS✔ Accepts Medicare30 mi

Saul Ernest, ARNP, NP-C

Nurse Practitioner

NPI 1174975684

16225 SW 19TH ST
Miramar, FL 33027

(954) 243-8422

✔ PECOS48 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Providence Community Health LLC enrolled in Medicare?

Yes. Providence Community Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Community Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Providence Community Health LLC, in General Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 14 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.