KIDS HOUSE OF SEMINOLE (NPI# 1710414511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710414511 |
| Entity Type | Organization |
| Organization Name | KIDS HOUSE OF SEMINOLE |
| Practice Address |
5467 Ronald Reagan Blvd Sanford FL 32773-6332 |
| Practice Telephone | 4073243036 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | DENISE CONUS (MENTAL HEALTH PROGRAM DIRECTOR) |
| Authorized Official Telephone | 4073243036 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | IMH15952 | FL | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KIDS HOUSE OF SEMINOLE INC | 5467 County Rd 427, Sanford, FL 32773-6332 |
| Street Address |
5467 RONALD REAGAN BLVD |
| City | SANFORD |
| State | FL |
| Zip Code | 32773-6332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033217823 | Linda Jan Carlson | Nurse Practitioner | 5467 Ronald Reagan Blvd, Sanford, FL 32773-6332 | 2006-09-20 |
| 1164884888 | Diane Kimball | Counselor | 5467 Ronald Reagan Blvd, Sanford, FL 32773-6332 | 2016-03-22 |
| 1275992778 | Ashleah Zigmond | Counselor | 5467 Ronald Reagan Blvd, Sanford, FL 32773-6332 | 2016-02-12 |
| 1164803227 | Carly Rene Evans | Nurse Practitioner | 5467 Ronald Reagan Blvd, Sanford, FL 32773-6332 | 2015-06-15 |
| 1063817302 | Arden Monroe-obermeit | Nurse Practitioner | 5467 Ronald Reagan Blvd, Sanford, FL 32773-6332 | 2014-10-29 |
| 1609022342 | Marisol Herrera Tobey | Counselor | 5467 Ronald Reagan Blvd, Sanford, FL 32773-6332 | 2008-08-13 |
| 1942492657 | Nicole Rose Tenore | Social Worker | 5467 Ronald Reagan Blvd, Sanford, FL 32773-6332 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962355 | United Angels Home Care Inc | In Home Supportive Care | 601 Lake Minnie Dr, # 4058, Sanford, FL 32773 | 2019-09-30 |
| 1093276537 | Hill Derm Pharmacy, Inc | Pharmacy | 3065 S. Mellonville Ave Ste B, Sanford, FL 32773 | 2019-03-27 |
| 1114446507 | Roberto Carlos Moran | Psychologist | 228 Clydesdale Circle, Sanford, FL 32773 | 2017-09-17 |
| 1316465305 | Thalia Garcia-lakongpheng | Student in an Organized Health Care Education/Training Program | 12208 Stonebrook Dr, Sanford, FL 32773 | 2017-08-30 |
| 1891211470 | Eric Manuel Castrodad Santini | Chiropractor | 820 W Lake Mary Blvd Ste 107, Sanford, FL 32773 | 2017-08-16 |
| 1306375886 | A New Beginning Family Services | Case Management | 148 Magnolia Park Trl, Sanford, FL 32773 | 2017-06-08 |
| 1427592146 | Alice Johanie Matias | Behavioral Analyst | 15208 Stonebrook Dr, Sanford, FL 32773 | 2016-12-14 |
| 1528514270 | Edward Dimauro II | Social Worker | 117 E Lake Mary Blvd, Sanford, FL 32773 | 2016-08-31 |
| 1174079420 | Beverly Glaspell | Physical Therapy Assistant | 257 Clydesdale Circle, Sanford, FL 32773 | 2016-08-28 |
| 1447607064 | Seminole Addiction Treatment Services & Counseling | Counselor | 2640 Hiawatha Avenue, Suite E, Sanford, FL 32773 | 2016-05-24 |
| Find all providers in zip 32773 | ||||
| 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 |
|---|---|---|---|---|
| 1124685342 | Stoney Mae Empowerment House Florida | Community/Behavioral Health | 5724 Byron Anthony Pl Apt 146, Sanford, FL 32771-8627 | 2019-05-22 |
| 1003277252 | North Carolina Wellness | Community/Behavioral Health | 321a Court Square, Sanford, NC 27330 | 2016-03-16 |
| 1174959464 | Community Alternative Housing, Inc | Community/Behavioral Health | 304 S Steele St, Sanford, NC 27330-4238 | 2013-09-19 |
| 1144541731 | New Beginnings Counseling Services, Pllc | Community/Behavioral Health | 1518 S. Horner Blvd, Sanford, NC 27330-5632 | 2010-06-17 |
| 1710218201 | Monarch | Community/Behavioral Health | 214 Mciver St, Sanford, NC 27330-4343 | 2010-01-22 |
| 1053640490 | Autism Consulting Network | Community/Behavioral Health | 203 East 10th Street, Sanford, FL 32771 | 2009-12-14 |
| 1609013432 | Vc & Associates, Inc. | Community/Behavioral Health | 136 Carbonton Rd Ste B, Sanford, NC 27330-4000 | 2009-01-15 |
| 1730372525 | Baptist Children's Homes of Nc, Inc. | Community/Behavioral Health | 1091 Oaktrail Ln, Sanford, NC 27330-0989 | 2007-08-24 |
| 1245352004 | Seminole Community Mental Health Organization | Community/Behavioral Health | 919 E 2nd St, Sanford, FL 32771-2101 | 2007-04-04 |
| 1891811006 | Alternative Care Treatments Systems | Community/Behavioral Health | 2517 Watson Ave, Sanford, NC 27332-6143 | 2007-03-21 |
| Find all providers in SANFORD | ||||
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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.