MARTIN LUTHER KING & MARTIN LUTHER KING UCC
NPI 1821251331
Clinic/Center - Federally Qualified Health Center (FQHC) in Homestead, FL

Active since July 03, 2008
810 W MOWRY DR, HOMESTEAD, FL 33030(305) 248-4334 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Martin Luther King & Martin Luther King Ucc NPPES

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

MARTIN LUTHER KING & MARTIN LUTHER KING UCC (NPI 1821251331) is a healthcare organization registered as a federally qualified health center (fqhc) in Homestead, Florida and active in the NPI registry since July 2008. The organization lists Jeremy David Radziewicz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1821251331
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY HEALTH OF SOUTH FLORIDA INC
Location Address810 W MOWRY DRHomestead, FL 33030-5746
Mailing Address10300 Sw 216th StMiami, FL 33190-1003 · (305) 253-5100 · Fax (305) 254-4987
Organization SubpartNo
Authorized OfficialJeremy David RadziewiczCfo · (305) 232-6047
Enumeration DateJuly 3, 2008
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1821251331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
810 W MOWRY DR, Homestead, FL 33030

Other Names 1

Other NameMartin Luther King & Martin Luther King Ucc

Other Identifiers 3

Medicaid051423300FL
Medicaid029572801FL
Medicaid060303105FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Martin Luther King & Martin Luther King Ucc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

142

Medicare enrollment records show 142 clinicians reassign Medicare billing to Martin Luther King & Martin Luther King Ucc, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Nurse Practitioner30
Family Practice27
Obstetrics/Gynecology17
Psychiatry12
Clinical Social Worker10
Pediatric Medicine9
Certified Nurse Midwife (CNM)7
Dentist6
8 other specialties24

Nearest to this location (20)

See all 142
Obstetrics/Gynecology
NPI 1265745053
810 W MOWRY DR
Homestead, FL 33030
(053) 248-4334
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1295774867
810 W MOWRY DR
Homestead, FL 33030
(305) 253-5100
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1760530869
810 WEST MOWRY STREET
Homestead, FL 33030
(305) 242-2008
✔ PECOSSame address
Family Practice
NPI 1477586204
810 W MOWRY DR
Homestead, FL 33030
(305) 242-6015
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1467789727
810 W MOWRY DR
Homestead, FL 33030
(305) 253-5100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033469234
38 NW 8TH ST
Homestead, FL 33030
(305) 246-0460
✔ PECOS0.8 mi
Pediatric Medicine
NPI 1952334666
810 W MOWRY DR
Homestead, FL 33030
(305) 248-4334
✔ PECOS1.4 mi
Nurse Practitioner
NPI 1730611328
13600 SW 312TH ST
Homestead, FL 33033
(305) 242-2000
✔ PECOS✔ Accepts Medicare4.9 mi
Dentist
NPI 1164879680
13805 SW 264TH ST
Naranja, FL 33032
(305) 253-6813
✔ PECOS5.8 mi
Nurse Practitioner
NPI 1366053506
13805 SW 264TH ST
Naranja, FL 33032
(305) 258-6813
✔ PECOS✔ Accepts Medicare5.8 mi
Nurse Practitioner
NPI 1154944718
15261 SW 212TH ST
Miami, FL 33187
(786) 234-3189
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1528710738
10301 SW 224TH TER
Cutler Bay, FL 33190
(786) 720-4810
✔ PECOS10 mi
Certified Nurse Midwife (CNM)
NPI 1215577820
10300 SW 216TH ST
Cutler Bay, FL 33190
(305) 253-5100
✔ PECOS10 mi
Obstetrics/Gynecology
NPI 1841674785
10300 SW 216TH ST
Cutler Bay, FL 33190
(305) 253-5100
✔ PECOS✔ Accepts Medicare10 mi
Psychiatry
NPI 1033536131
10300 SW 216TH ST
Miami, FL 33190
(305) 253-5100
✔ PECOS✔ Accepts Medicare10 mi
Optometry
NPI 1407962798
10300 SW 216TH ST
Cutler Bay, FL 33190
(305) 253-5100
✔ PECOS✔ Accepts Medicare10 mi
Family Practice
NPI 1427632538
10300 SW 216TH ST
Cutler Bay, FL 33190
(305) 528-5929
✔ PECOS✔ Accepts Medicare10 mi
Internal Medicine
NPI 1780626820
10300 SW 216TH ST
Cutler Bay, FL 33190
(305) 253-5100
✔ PECOS10 mi
Osteopathic Manipulative Medicine
NPI 1710369830
10300 SW 216TH ST
Cutler Bay, FL 33190
(053) 253-5100
✔ PECOS10 mi
Clinical Social Worker
NPI 1184992638
10300 SW 216TH ST
Cutler Bay, FL 33190
(305) 252-4840
✔ PECOS10 mi
See all 142 clinicians

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 Community Health Of South Florida Inc's NPI number?

The NPI number for Community Health Of South Florida Inc is 1821251331. It was assigned to this organization in the NPPES registry on July 3, 2008. The provider is also known as Martin Luther King & Martin Luther King Ucc.

Where is Community Health Of South Florida Inc located?

Community Health Of South Florida Inc is located at 810 W Mowry Dr, Homestead, FL 33030. The listed phone number is (305) 248-4334.

What is Community Health Of South Florida Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Community Health Of South Florida Inc enrolled in Medicare?

Yes. Community Health Of South Florida Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Health Of South Florida Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 142 clinicians in 16 Medicare specialties reassign their Medicare billing to Community Health Of South Florida Inc. 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. The largest specialties are Nurse Practitioner (30), Family Practice (27) and Obstetrics/Gynecology (17). Of these, 5 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Community Health Of South Florida Inc accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Community Health Of South Florida Inc 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 Community Health Of South Florida Inc was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.