CHILDREN'S HOME SOCIETY


Address: 1940 Maravilla Ave, Fort Myers, FL 33901-7135
Phone: 2393340222

CHILDREN'S HOME SOCIETY (NPI# 1275819807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275819807
Entity Type Organization
Organization Name CHILDREN'S HOME SOCIETY
Practice Address 1940 Maravilla Ave
Fort Myers
FL 33901-7135
Mailing Address 1485 S Semoran Blvd
Suite 1448
Winter Park
FL 32792-5533
Practice Telephone 2393340222
Practice Fax Number 2393340244
Mailing Telephone 3213973000
Mailing Fax Number 3213973016
Enumeration Date 2011-10-27
Last Update Date 2011-10-27
Authorized Official Name DAVID A BUNDY (PRESIDENT/CEO)
Authorized Official Telephone 3213973000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health FL Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1376056796 Children's Home Society Clinic/Center 1014 Walla Walla Ave, Wenatchee, WA 98801-1523 2017-11-07
1629443395 Children's Home Society Community Based Residential Treatment Facility, Mental Illness 914 Harrison Ave, Panama City, FL 32401-2528 2015-12-07
1689937351 Children's Home Society Foster Care Agency 401 Ne 4th St, Fort Lauderdale, FL 33301-1151 2012-06-19
1497038061 Children's Home Society Community Based Residential Treatment Facility, Mental Illness 3027 San Diego Rd, Jacksonville, FL 32207-3691 2011-09-21
1811285281 Children's Home Society Exclusive Provider Organization 800 Nw 15th St, Miami, FL 33136-1412 2011-07-19
1730484601 Children's Home Society Case Management 1485 S Semoran Blvd, Suite 1402, Winter Park, FL 32792-5533 2011-01-24
1407175060 Children's Home Society Foster Care Agency 17501 Sw 117th Ave, Miami, FL 33177-2272 2010-05-21
1457418493 Children's Home Society Case Management 1801 Miccosukee Commons Dr, Tallahassee, FL 32308-5433 2007-01-02
1083794630 Children's Home Society Community/Behavioral Health 605 Ne 1st St, Gainesville, FL 32601-3318 2006-10-17

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities CHILDREN'S HOME SOCIETY OF CALIFORNIA 1300 W 4th St, Los Angeles, CA 90017-1404
System for Award Management (SAM) Entities CHILDREN'S HOME SOCIETY OF FLORIDA, THE 482 S Keller Rd, Orlando, FL 32810-6130
Virginia Business Entities Children's Home Society of Minnesota 1605 Eustis St, Saint Paul, Minnesota 55108-1219
Virginia Business Entities Children's Home Society of Virginia 4200 Fitzhugh Ave, Richmond, Virginia 23230
Virginia Business Entities Children's Home Society of Virginia Memorial Fund Inc. 4200 Fitzhugh Avenue, Richmond, Virginia 23230

Office Location

Street Address 1940 MARAVILLA AVE
City FORT MYERS
State FL
Zip Code 33901-7135

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134225378 Children's Home Society of Florida Case Management 1940 Maravilla Ave, Fort Myers, FL 33901-7135 2006-09-15
1417465162 Aimie Petrikas Counselor 1940 Maravilla Ave, Fort Myers, FL 33901-7135 2018-01-16
1407369168 Marie Camine Ovincy Counselor 1940 Maravilla Ave, Fort Myers, FL 33901-7135 2017-11-15
1730606609 Aletha Gail Harris-paulk Case Manager/Care Coordinator 1940 Maravilla Ave, Fort Myers, FL 33901-7135 2017-08-23
1306202221 Lawrence Ely Case Management 1940 Maravilla Ave, Fort Myers, FL 33901-7135 2016-01-07
1023428299 Mary Hemrick Counselor 1940 Maravilla Ave, Fort Myers, FL 33901-7135 2014-04-28
1245664200 Erica K Rumler Social Worker 1940 Maravilla Ave, Fort Myers, FL 33901-7135 2013-08-27
1427391606 Kathryn Anne Tripp Social Worker 1940 Maravilla Ave, Fort Myers, FL 33901-7135 2013-04-05
1891039269 Gillian Rosette Ward Counselor 1940 Maravilla Ave, Fort Myers, FL 33901-7135 2012-11-25
1396098083 Christina Yevette Wilson Counselor 1940 Maravilla Ave, Fort Myers, FL 33901-7135 2012-10-18
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1942673900 Adriana Ramnarine Dietitian, Registered 2727 Winkler Ave., Fort Myers, FL 33901 2015-11-12
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1588087076 Larry Philip Garrett Family Medicine 3543 Stuart Ct, Fort Myers, FL 33901 2014-02-04
1144657479 Janet M Michael Registered Nurse 3763 Evans Ave., Fort Myers, FL 33901 2013-10-01
1366879785 Gina Lee Guerrero Licensed Practical Nurse 3736 Evans Ave, Fort Myers, FL 33901 2013-09-30
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760081806 1 Recovery Community/Behavioral Health 111 Daniels Dr, Fort Myers, FL 33908 2020-10-20
1588271985 Sunshine New Wellness Corp Community/Behavioral Health 9400 Gladiolus Dr Ste 270, Fort Myers, FL 33908-7600 2020-09-29
1922615491 The-merger Corp Community/Behavioral Health 3800 Colonial Blvd Ste 201, Fort Myers, FL 33966-1075 2020-09-28
1649814427 Naples Behavioral, Inc. Community/Behavioral Health 12631 World Plaza Ln Bldg 54, Fort Myers, FL 33907-3990 2019-11-04
1184145559 National Youth Advocate Program, Inc Community/Behavioral Health 4150 Ford St, Fort Myers, FL 33916-9498 2017-07-06
1366980187 My Precious Kids Therapy Center Inc Community/Behavioral Health 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 2017-02-01
1891167771 Nextep Counseling and Clinical Services, LLC. Community/Behavioral Health 6314 Corporate Ct Ste 110, Fort Myers, FL 33919-3516 2015-10-30
1326422544 United Way of Lee County, Inc. Community/Behavioral Health 7273 Concourse Dr, Fort Myers, FL 33908-2604 2015-07-17
1558752642 Nextep Counseling and Clinical Services LLC Community/Behavioral Health 6313 Corporate Ct Ste 130, Fort Myers, FL 33919-3509 2015-02-10
1194128066 Genesis Counseling Center Community/Behavioral Health 8359 Beacon Blvd Ste 200, Fort Myers, FL 33907-3065 2014-10-06
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Competitor

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City FORT MYERS
Zip Code 33901

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Dataset Information

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.

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