PROVIDENCE COMMUNITY MEDICAL CENTER LLC
NPI 1396288676
Health Maintenance Organization in Oakland Park, FL

Active since November 18, 2016CLIA 10D2173435 · Waiver
1736 E COMMERCIAL BLVD, OAKLAND PARK, FL 33334(954) 267-9696 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Community Medical Center Llc NPPES

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

PROVIDENCE COMMUNITY MEDICAL CENTER LLC (NPI 1396288676) is a healthcare organization registered as a health maintenance organization in Oakland Park, Florida and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Guerlyne Desir, Vp, as its authorized official.

NPPES Registry Identity

NPI1396288676
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NamePROVIDENCE COMMUNITY MEDICAL CENTER LLC
Location Address1736 E COMMERCIAL BLVDOakland Park, FL 33334-5721
Mailing Address1736 E Commercial BlvdOakland Park, FL 33334-5721 · (954) 267-9696
Organization SubpartNo
Authorized OfficialGuerlyne DesirVp · (954) 267-9696
Enumeration DateNovember 18, 2016
NPI 1396288676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
1736 E COMMERCIAL BLVD, Oakland Park, FL 33334

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 10D2173435

Providence Community Center, LLC · Fort Lauderdale, FL
Active · expires Oct 13, 2027
CLIA Number10D2173435
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorAlphonse Giloux Dufreny
Laboratory Phone(954) 267-9696
Laboratory LocationProvidence Community Center, LLC1736 E Commercial Blvd, Fort Lauderdale, FL 33334
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Family Medicine
1736 E COMMERCIAL BLVD
OAKLAND PARK, FL 33334
Physician Assistant (Medical)
1736 E COMMERCIAL BLVD
OAKLAND PARK, FL 33334
Family Medicine
1736 E COMMERCIAL BLVD
OAKLAND PARK, FL 33334

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 Medical Center LLC's NPI number?

The NPI number for Providence Community Medical Center LLC is 1396288676. It was assigned to this organization in the NPPES registry on November 18, 2016.

Where is Providence Community Medical Center LLC located?

Providence Community Medical Center LLC is located at 1736 E Commercial Blvd, Oakland Park, FL 33334. The listed phone number is (954) 267-9696.

What is Providence Community Medical Center LLC's specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

Does Providence Community Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2173435) is associated with this NPI, valid through October 13, 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 Medical Center LLC was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.