PRO BONO CARE LLC
NPI 1922443613
Clinic/Center - Adult Mental Health in Hollywood, FL

Active since May 08, 2013
4651 SHERIDAN ST STE 450, HOLLYWOOD, FL 33021(954) 983-5330(954) 983-5086 Get Directions Write a Review

NPPES record last updated: May 8, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pro Bono Care Llc NPPES

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

PRO BONO CARE LLC (NPI 1922443613) is a healthcare organization registered as an adult mental health in Hollywood, Florida and active in the NPI registry since May 2013. The organization lists Yves S Eveillard, Agent Manager, as its authorized official.

NPPES Registry Identity

NPI1922443613
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NamePRO BONO CARE LLC
Location Address4651 SHERIDAN ST STE 450Hollywood, FL 33021-3415
Mailing Address4651 Sheridan St Ste 450Hollywood, FL 33021-3415 · (954) 983-5330 · Fax (954) 983-5086
Fax(954) 983-5086
Organization SubpartNo
Authorized OfficialYves S EveillardAgent Manager · (954) 983-5330
Enumeration DateMay 8, 2013
✔ NPI 1922443613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in FL · ME53634
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
4651 SHERIDAN ST STE 450, Hollywood, FL 33021

Other Identifiers 3

Medicaid0489379FL
Medicare PIN07625FL
Medicare UPINE21381FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pro Bono Care 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 Pro Bono Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1629211560
3420 NW 91ST AVE
Hollywood, FL 33024
(954) 848-4929
✔ PECOS5.0 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 Pro Bono Care LLC's NPI number?

The NPI number for Pro Bono Care LLC is 1922443613. It was assigned to this organization in the NPPES registry on May 8, 2013.

Where is Pro Bono Care LLC located?

Pro Bono Care LLC is located at 4651 Sheridan St Ste 450, Hollywood, FL 33021. The listed phone number is (954) 983-5330.

What is Pro Bono Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Pro Bono Care LLC enrolled in Medicare?

Yes. Pro Bono Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pro Bono Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Pro Bono Care 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.

When was this NPI record last updated?

The NPPES record for Pro Bono Care LLC was last updated on May 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.