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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | FL | Agencies |
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 |
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 |
Street Address |
1940 MARAVILLA AVE |
City | FORT MYERS |
State | FL |
Zip Code | 33901-7135 |
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 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
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 |
1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
Find all providers in zip 33901 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
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] |
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 |
Find all providers in FORT MYERS |
City | FORT MYERS |
Zip Code | 33901 |
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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.