Provider Demographics
NPI:1679005300
Name:CURLEY'S HOUSE COMMUNITY HEALTH NETWORK, INC
Entity Type:Organization
Organization Name:CURLEY'S HOUSE COMMUNITY HEALTH NETWORK, INC
Other - Org Name:CH COMMUNITY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:WARNER
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-720-0699
Mailing Address - Street 1:6025 NW 6TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33127-1146
Mailing Address - Country:US
Mailing Address - Phone:786-262-2851
Mailing Address - Fax:
Practice Address - Street 1:210 S FEDERAL HWY
Practice Address - Street 2:300
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6811
Practice Address - Country:US
Practice Address - Phone:786-720-0699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CURLEY'S HOUSE OF STYLE INC., HOPE RELIEF FOOD BANK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-03-31
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL302F00000X, 302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
No302R00000XManaged Care OrganizationsHealth Maintenance Organization