NEW IDENTITY WELLNESS CENTER LLC
NPI 1558984971
Community/Behavioral Health in Miramar, FL

Active since May 20, 2020
14601 SW 29TH ST STE 107, MIRAMAR, FL 33027(786) 804-9405 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2025, Sep 30, 2020, May 20, 2020 (3 updates tracked since 2020).

About New Identity Wellness Center Llc NPPES

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

NEW IDENTITY WELLNESS CENTER LLC (NPI 1558984971) is a healthcare organization registered as a community/behavioral health in Miramar, Florida and active in the NPI registry since May 2020. The organization lists Caridad Hayes, Officer, as its authorized official.

NPPES Registry Identity

NPI1558984971
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameNEW IDENTITY WELLNESS CENTER LLC
Location Address14601 SW 29TH ST STE 107Miramar, FL 33027-4715
Mailing Address14601 Sw 29th St Ste 107Miramar, FL 33027-4715 · (954) 589-1971 · Fax (305) 317-4453
Organization SubpartNo
Authorized OfficialCaridad HayesOfficer · (954) 589-1971
Enumeration DateMay 20, 2020
Last NPPES UpdateOctober 9, 20253 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1558984971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
14601 SW 29TH ST STE 107, Miramar, FL 33027

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Identity Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to New Identity Wellness Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1407223993
228 SW 48TH AVE
Coral Gables, FL 33134
(305) 343-7975
✔ PECOS15 mi

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

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 New Identity Wellness Center LLC's NPI number?

The NPI number for New Identity Wellness Center LLC is 1558984971. It was assigned to this organization in the NPPES registry on May 20, 2020.

Where is New Identity Wellness Center LLC located?

New Identity Wellness Center LLC is located at 14601 SW 29th St Ste 107, Miramar, FL 33027. The listed phone number is (786) 804-9405.

What is New Identity Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is New Identity Wellness Center LLC enrolled in Medicare?

Yes. New Identity Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Identity Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to New Identity Wellness Center LLC. 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.

What insurance does New Identity Wellness Center LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Cigna HealthCare of Florida, Inc. and 2 other insurers list New Identity Wellness Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for New Identity Wellness Center LLC was last updated on October 9, 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.