CHILDREN'S HARBOR (NPI# 1295805703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295805703 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HARBOR |
| Practice Address |
19425 Sw 58th Mnr Fort Lauderdale FL 33332-3338 |
| Practice Telephone | 9543925689 |
| Practice Fax Number | 9542527134 |
| Mailing Telephone | 9543925689 |
| Mailing Fax Number | 9542527134 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SUE GLASSCOCK (CEO) |
| Authorized Official Telephone | 9543925689 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | FL | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHILDREN'S HARBOR | 19425 Sw 58 Manor, Pembroke Pines, FL 33332-3338 |
| Street Address |
19425 SW 58TH MNR |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33332-3338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750450904 | Jacqueline Ann Pertusiello | Social Worker | 19425 Sw 58th Mnr, Fort Lauderdale, FL 33332-3338 | 2006-11-06 |
| 1366915407 | Gena Kanov | Counselor | 19425 Sw 58th Mnr, Fort Lauderdale, FL 33332-3338 | 2019-01-10 |
| 1881045888 | Paula Lowe-chin | Counselor | 19425 Sw 58th Mnr, Fort Lauderdale, FL 33332-3338 | 2016-06-30 |
| 1518136621 | Regine M. Cordon-shiver | Social Worker | 19425 Sw 58th Mnr, Fort Lauderdale, FL 33332-3338 | 2008-02-22 |
| 1023176344 | Omrit Shimoni | Counselor | 19425 Sw 58th Mnr, Fort Lauderdale, FL 33332-3338 | 2006-12-06 |
| 1346310802 | Todd Alan Sussman | Counselor | 19425 Sw 58th Mnr, Fort Lauderdale, FL 33332-3338 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053223 | Sheridan-pines Mri, LLC | Clinic/Center | 19442 Sheridan Street, Pembroke Pines, FL 33332 | 2020-11-06 |
| 1619212602 | Bella Family Dental Inc | Dentist | 19551 Sheridan St., Pembroke Pines, FL 33332 | 2012-12-03 |
| 1891067237 | Maria C Perez | Pharmacist | 3112 West 76th Street, Hialeah, FL 33332 | 2012-02-01 |
| 1982984704 | Physical Medicine and Rehabilitation Consultant, LLC | Physical Medicine & Rehabilitation | 6175 Sw 192nd Ave, Pembroke Pines, FL 33332 | 2011-08-24 |
| 1528290053 | Pro Image Diagnostics, Inc. | Radiologic Technologist | 20421 Southwest 50th Place, Southwest Ranches, FL 33332 | 2009-08-17 |
| 1265673461 | Preferred Care Management | Internal Medicine | 19451 Sheridan Street, Suite 176, Pembroke Pines, FL 33332 | 2009-03-18 |
| 1568608875 | Laguna Isles Dental, LLC | Dentist | 19551 Sheridan Street, Pembroke Pines, FL 33332 | 2008-12-17 |
| 1487099925 | Al Ventures, LLC | Home Health | 10400 Griffin Rd, 102, Cooper City, FL 33332 | 2013-05-09 |
| 1972939551 | Nicole Kross | Developmental Therapist | 5011 Sw 201st Ter, Southwest Ranches, FL 33332-1011 | 2013-09-16 |
| 1689016560 | Alternate Group Care, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 20250 Sw 50th Pl, Southwest Ranches, FL 33332-1021 | 2013-07-22 |
| Find all providers in zip 33332 | ||||
| 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 |
|---|---|---|---|---|
| 1669080461 | Northeast Family Services of Florida, Inc. | Community/Behavioral Health | 1122 Ne 18th Ct, Fort Lauderdale, FL 33305-3862 | 2020-07-17 |
| 1689184186 | Innovative Psych Solutions, Inc | Community/Behavioral Health | 110 Se 6th St Ste 1900, Fort Lauderdale, FL 33301-5005 | 2017-10-10 |
| 1245697606 | Childnet, Inc. | Community/Behavioral Health | 1100 W Mcnab Rd, Fort Lauderdale, FL 33309-1116 | 2016-01-15 |
| 1336504786 | South Florida Wellness Network, Inc | Community/Behavioral Health | 2901 W Cypress Creek Rd Ste 105, Fort Lauderdale, FL 33309-1730 | 2015-12-29 |
| 1770921967 | Carmen L. Galano, Psyd, LLC | Community/Behavioral Health | 1130 Sw 30th St, Fort Lauderdale, FL 33315-2924 | 2013-06-10 |
| 1205174877 | Life At Seven Springs | Community/Behavioral Health | 4367 N Federal Hwy, Suite 201, Fort Lauderdale, FL 33308-5213 | 2013-01-16 |
| 1821333717 | Broward Behavioral Health Coalition, Inc. | Community/Behavioral Health | 1715 Se 4th Ave, Fort Lauderdale, FL 33316-2515 | 2012-12-03 |
| 1245588441 | Blue Moon Senior Counseling, LLC. | Community/Behavioral Health | 900 Ne 18th Ave Apt 1207, Fort Lauderdale, FL 33304-3054 | 2012-08-17 |
| 1245595024 | Ami Kids Greater Fort Lauderdale | Community/Behavioral Health | 3220 Sw 4th Ave, Fort Lauderdale, FL 33315-3019 | 2012-07-09 |
| 1033391727 | Broward House, Inc. | Community/Behavioral Health | 501 Se 18th Ct, Fort Lauderdale, FL 33316-2833 | 2007-12-04 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33332 |
Please comment or provide details below to improve the information on CHILDREN'S HARBOR.
| 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.