CLUB COMMUNITY CARE LLC – Community/Behavioral Health Agency, NPI 1982200382

CLUB COMMUNITY CARE LLC is a healthcare provider. based in Lake city, Florida. specializing in Community/Behavioral Health Agency. The NPI Number for CLUB COMMUNITY CARE LLC is 1982200382

Main info

Organization
Name
CLUB COMMUNITY CARE LLC
NPI
1982200382
Phone
(786) 587-9814
Address
164 NW MADISON ST
Authorized Official
DAMARY DIAZ HERNANDEZ PRESIDENT
Enumeration Date
10 December 2020
Last Update Date
10 December 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:5State licenses:0Digital endpointsOther names

Provider Addresses for CLUB COMMUNITY CARE LLC

  • 164 NW MADISON ST

    LAKE CITY, FL 320553904

    Phone: (786) 587-9814

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32055)

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Reviews

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Frequently asked questions

What NPI should I save for CLUB COMMUNITY CARE LLC?
Save NPI 1982200382 if you need a stable reference for CLUB COMMUNITY CARE LLC.
Is CLUB COMMUNITY CARE LLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does CLUB COMMUNITY CARE LLC work in?
You can think of CLUB COMMUNITY CARE LLC as practicing within Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
What location shows for CLUB COMMUNITY CARE LLC?
We surface Lake City, Florida for CLUB COMMUNITY CARE LLC based on available NPPES addresses.
Is CLUB COMMUNITY CARE LLC a real provider?
This page reflects official NPPES data for NPI 1982200382. Always confirm identity and privileges with the practice and licensing boards.

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