2-1-1 BREVARD, INC. — NPI 1700819091 (Licensed & Credentialed Agencies

CMS-1500 Box 24J / 33a • NPI

1700819091

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251V00000X (CMS 61)

Licensed & Credentialed Agencies — Voluntary or Charitable

Box 32 Service Location & ZIP+4

625 FLORIDA AVE, STE. 4, COCOA, FL, 32922-7970

✓ 9-Digit EDI 837 ZIP+4 (32922-7970)

Practice Phone & Referral Fax

(321) 631-9290

Fax: (321) 631-9291

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1700819091 (2-1-1 BREVARD, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1700819091` (NPI-2 Organization / Facility)
Provider / Legal Name	2-1-1 BREVARD, INC.
Plain-English Specialty	Licensed & Credentialed Agencies — Voluntary or Charitable NUCC Code: `251V00000X` (Voluntary or Charitable)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	625 FLORIDA AVE, STE. 4, COCOA, FL, 32922-7970
Practice Telephone / Fax	Tel: (321) 631-9290 \| Fax: (321) 631-9291
Administrative Mailing Address	PO BOX 417, COCOA, FL, 32923-0417
Enumeration & Last Sync	Enumerated: 2006-07-09 \| CMS Record Updated: 2008-07-31
Authorized Official	ELIZABETH DONOGHUE (Executive Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

625 FLORIDA AVE, STE. 4, COCOA, FL, 32922-7970

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Plain-English Taxonomy & CMS Crosswalk (251V00000X)

What Does Taxonomy Code 251V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251V00000X translates to:
"Licensed & Credentialed Agencies — Voluntary or Charitable"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 61 (Voluntary Health or Charitable Agency[1])
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Voluntary or Charitable for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (2-1-1 BREVARD, INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251V00000X` — Voluntary or Charitable Plain English: Licensed & Credentialed Agencies — Voluntary or Charitable	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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2-1-1 BREVARD, INC. (NPI #1700819091)