CHILDREN'S HOME SOCIETY (NPI# 1629443395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629443395 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOME SOCIETY |
| Practice Address |
914 Harrison Ave Panama City FL 32401-2528 |
| Mailing Address |
222 S Charlene Dr Panama City FL 32404-7903 |
| Practice Telephone | 8507475411 |
| Mailing Telephone | 8508195518 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |
| Authorized Official Name | MRS. KRISTI LYNN SRICHAN (CLINICAL COUNSELOR) |
| Authorized Official Telephone | 8508195518 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376056796 | Children's Home Society | Clinic/Center | 1014 Walla Walla Ave, Wenatchee, WA 98801-1523 | 2017-11-07 |
| 1689937351 | Children's Home Society | Foster Care Agency | 401 Ne 4th St, Fort Lauderdale, FL 33301-1151 | 2012-06-19 |
| 1275819807 | Children's Home Society | Community/Behavioral Health | 1940 Maravilla Ave, Fort Myers, FL 33901-7135 | 2011-10-27 |
| 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 |
914 HARRISON AVE |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32401-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154429009 | Deanna J Nettles | Counselor | 914 Harrison Ave, Panama City, FL 32401-2528 | 2006-09-21 |
| 1609317601 | Sonia Pham | Case Management | 914 Harrison Ave, Panama City, FL 32401-2528 | 2017-03-10 |
| 1386189041 | Robert Earl Sanders | Student in an Organized Health Care Education/Training Program | 914 Harrison Ave, Panama City, FL 32401-2528 | 2017-01-04 |
| 1295279008 | Scarlett Anderson Dunn | Social Worker | 914 Harrison Ave, Panama City, FL 32401-2528 | 2016-12-13 |
| 1386090785 | Madeline Garrett | Social Worker | 914 Harrison Ave, Panama City, FL 32401-2528 | 2016-05-04 |
| 1992169031 | Shawna Anderson | Case Manager/Care Coordinator | 914 Harrison Ave, Panama City, FL 32401-2528 | 2016-04-05 |
| 1326401878 | Ashleigh Sauder | Counselor | 914 Harrison Ave, Panama City, FL 32401-2528 | 2016-04-01 |
| 1912368895 | Ashley Nicole Bowers | Social Worker | 914 Harrison Ave, Panama City, FL 32401-2528 | 2016-03-18 |
| 1235596917 | Elizabeth Clark | Case Manager/Care Coordinator | 914 Harrison Ave, Panama City, FL 32401-2528 | 2016-01-26 |
| 1912378902 | Stephanie Kimbrough | Counselor | 914 Harrison Ave, Panama City, FL 32401-2528 | 2015-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760946727 | Panama City Drugs | Pharmacy | 3127 East Bus 98, Panama City, FL 32401 | 2019-01-24 |
| 1154813418 | Karl Roger Metzger | Pharmacist | 306 S Macarthur Ave, Panama City, FL 32401 | 2018-06-03 |
| 1942703905 | Muhammad Eckhaus | Acupuncturist | 2401 West 15th Street, Panama City, FL 32401 | 2018-03-15 |
| 1922534171 | Wolford Family Practice Inc | Nurse Practitioner | 1027 E Business Hwy 98, Panama City, FL 32401 | 2017-05-10 |
| 1508397381 | Shoreline Medical Solutions & Dme, LLC | Durable Medical Equipment & Medical Supplies | 405 W Oak Ave Ste B, Panama City, FL 32401 | 2017-03-23 |
| 1679027189 | David Lawrence Angier | Behavioral Analyst | 904 Flower Ave, Panama City, FL 32401 | 2016-08-12 |
| 1427422369 | Kathy Purdessy | Nurse Practitioner | 801 E 6th St Ste 604, Panama City, FL 32401 | 2015-11-16 |
| 1881015154 | Anesthesia Unlimited Inc | Nurse Anesthetist, Certified Registered | 801 E 6th Stret, Ste 205, Panama City, FL 32401 | 2014-01-03 |
| 1598193765 | Lashunda Sherese Thomas | Social Worker | 2711 W. 15th St., Panama City, FL 32401 | 2013-10-24 |
| 1144654153 | Raymond Dretti Pacheco | Licensed Practical Nurse | 509 N Center Ave, Panama City, FL 32401 | 2013-08-27 |
| Find all providers in zip 32401 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285814178 | Gardenview Alf | Community Based Residential Treatment Facility, Mental Illness | 526 N Mary Ella Ave, Panama City, FL 32404-2323 | 2007-11-07 |
| 1023297520 | Caring Inc. of Bay Co. | Community Based Residential Treatment Facility, Mental Illness | 11921 Caruso Dr, Panama City, FL 32404-2927 | 2007-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427688852 | Tropical Gardens LLC | Community Based Residential Treatment Facility, Mental Illness | 150 Ne 212th St, Miami Gardens, FL 33179-1017 | 2020-01-24 |
| 1417505850 | Herve Franck | Community Based Residential Treatment Facility, Mental Illness | 13901 Folkestone Cir, Wellington, FL 33414-7825 | 2019-08-28 |
| 1568014868 | Hestia House of Florida, Inc. | Community Based Residential Treatment Facility, Mental Illness | 816 N Grandview Ave # 2, Daytona Beach, FL 32118-3721 | 2019-07-16 |
| 1336628155 | Lavoryia Timmons | Community Based Residential Treatment Facility, Mental Illness | 24940 Hyde Park Blvd, Land O Lakes, FL 34639-6306 | 2018-08-13 |
| 1003324534 | Donyell Jones | Community Based Residential Treatment Facility, Mental Illness | 6239 Edgewater Dr Ste V2, Orlando, FL 32810-4764 | 2018-01-18 |
| 1437672748 | Reasons for Change, LLC | Community Based Residential Treatment Facility, Mental Illness | 143 Silver Beach Road, Lake Park, FL 33403 | 2017-07-18 |
| 1316477029 | Cerrato Associates Incorporation | Community Based Residential Treatment Facility, Mental Illness | 755 Shady Oaks Dr Apt 310, Palm Coast, FL 32164-2578 | 2017-06-14 |
| 1356877047 | Samaritan Counseling Center | Community Based Residential Treatment Facility, Mental Illness | 101 Se 3rd Avenue, Fort Lauderdale, FL 33301 | 2017-05-02 |
| 1780119917 | Open Arm Housing and Care | Community Based Residential Treatment Facility, Mental Illness | 4031 Nw 91st Ters, Sunrise, FL 33351 | 2017-04-25 |
| 1124476064 | Parent Support, LLC | Community Based Residential Treatment Facility, Mental Illness | 146 Sunset View Dr., Davenport, FL 33896 | 2016-06-01 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32401 |
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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.