Club Community Care LLC
NPI 1982200382 · Community/Behavioral Health Agency · Lake City, FL
Club Community Care LLC is a Community/Behavioral Health Agency organization in Lake City, FL (NPI 1982200382).
Provider details
- NPI number
- 1982200382
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Damary Diaz Hernandez, President(786) 497-1134
Specialties & taxonomies
Agencies
- Case Management Agency251B00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-12-10
- Last updated
- 2020-12-10
- Certified
- 2020-12-10
Frequently asked questions
- What is Club Community Care LLC's NPI number?
- Club Community Care LLC's National Provider Identifier (NPI) is 1982200382, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Club Community Care LLC?
- Club Community Care LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Club Community Care LLC located?
- Club Community Care LLC's practice location on file with NPPES is 164 Nw Madison St, Lake City, FL 32055-3904.
- What is Club Community Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Club Community Care LLC is (786) 587-9814.
- Who is the authorized official for Club Community Care LLC?
- The authorized official listed on Club Community Care LLC's NPPES record is Damary Diaz Hernandez, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Club Community Care LLC's NPI active?
- Yes — Club Community Care LLC's NPI (1982200382) is active in the NPPES registry as of the last update on 2020-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.