BANYAN PEDIATRIC CARE CENTERS SARASOTA, LLC (NPI# 1205447398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205447398 |
| Entity Type | Organization |
| Organization Name | BANYAN PEDIATRIC CARE CENTERS SARASOTA, LLC |
| Practice Address |
3251 17th St Unit 200 Sarasota FL 34235-8900 |
| Mailing Address |
850 3rd Ave S St Petersburg FL 33701-4010 |
| Practice Telephone | 9419295450 |
| Mailing Telephone | 7278215439 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | JANET HUFFMAN (CFO) |
| Authorized Official Telephone | 9419295450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM3000X |
Clinic/Center Specialization: Medically Fragile Intants and Children Day Care |
Ambulatory Health Care Facilities |
| Street Address |
3251 17TH ST UNIT 200 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34235-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366939647 | Cooper Creek Facility LLC | Skilled Nursing Facility | 5381 Desoto Road, Sarasota, FL 34235 | 2018-04-22 |
| 1043714082 | Rosemary Gribbin | Developmental Therapist | Gulf Central Early Steps, 4630 17th Street, Sarasota, FL 34235 | 2018-03-23 |
| 1467979864 | Amber Parry | Social Worker | 4630 17th St., Sarasota, FL 34235 | 2017-08-25 |
| 1528598307 | Milena Aleman | Occupational Therapy Assistant | 4029 Felipi Lane, Sarasota, FL 34235 | 2017-06-14 |
| 1194259614 | Rosemarie Tabangay Hartman | Occupational Therapy Assistant | 5381 De Soto Rd, Sarasota, FL 34235 | 2017-04-12 |
| 1790957710 | Cathy Keskin | Occupational Therapy Assistant | 5201 Desota Rd., Sarasota, FL 34235 | 2008-03-31 |
| 1215107487 | Rebekah A.s. Nouri | Social Worker | 4630 17th Street, Sarasota, FL 34235 | 2008-03-04 |
| 1578642880 | Davinder Singh Bhamber | Internal Medicine | 5250 17th St, Suite 7, Sarasota, FL 34235 | 2006-11-06 |
| 1548352230 | Cathy Lynne Matthews | Midwife, Lay | 4944 Midnight Lane, Sarasota, FL 34235 | 2006-09-29 |
| 1831122050 | Dawn Affeldt | Counselor | 3300 17th Street, Sarasota, FL 34235 | 2006-07-09 |
| Find all providers in zip 34235 | ||||
| Taxonomy Code | 261QM3000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medically Fragile Intants and Children Day Care |
| An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619427135 | Prescribed Pediatric Extended Care Inc | Clinic/Center | 5899 Whitfield Ave, Suite 301, Sarasota, FL 34243-6152 | 2016-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647363 | Shining Stars Pediatric Extended Care, LLC | Clinic/Center | 5201 Ravenswood Rd Ste 110, Ft Lauderdale, FL 33312-6004 | 2020-10-21 |
| 1275131575 | Angels On Earth Ppec, Inc. | Clinic/Center | 335 Pineda Ct Ste 104, Melbourne, FL 32940-7504 | 2020-10-09 |
| 1609488840 | Gencare Kids, LLC | Clinic/Center | 2557 E Irlo Bronson Memorial Hwy, Kissimmee, FL 34744-4993 | 2020-08-19 |
| 1659982742 | Banyan Pediatric Care Centers Pasco, LLC | Clinic/Center | 4008 Little Rd, New Port Richey, FL 34655-1719 | 2020-08-12 |
| 1992330757 | Angels On Earth Ppec, Inc. | Clinic/Center | 110 Patterson Rd Ste 2, Haines City, FL 33844-7840 | 2020-03-11 |
| 1669004206 | Angels Special Care Inc | Clinic/Center | 17571 S Dixie Hwy, Palmetto Bay, FL 33157-5435 | 2020-02-11 |
| 1871132183 | Abc Pediatrics of Florida Inc | Clinic/Center | 14856 Nw 7th Ave, Miami, FL 33168-3106 | 2020-01-03 |
| 1548801848 | Caresquare of Florida LLC | Clinic/Center | 100 S Congress Ave Ste 2230e, Delray Beach, FL 33445-4642 | 2019-10-08 |
| 1326696758 | Pedikidz Ppec | Clinic/Center | 7800 Sw 87th Ave Ste A-100, Miami, FL 33173-3570 | 2019-08-28 |
| 1255988390 | The Wonderkids Center, LLC | Clinic/Center | 7100 W Commercial Blvd Ste 104, Lauderhill, FL 33319-2147 | 2019-08-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.