CHILDREN'S HOME SOCIETY OF FLORIDA (NPI# 1912213075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912213075 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOME SOCIETY OF FLORIDA |
| Practice Address |
1300 S Duncan Dr Bldg. D Tavares FL 32778-4223 |
| Mailing Address |
1485 S Semoran Blvd Suite 1448 Winter Park FL 32792-5533 |
| Practice Telephone | 3527426170 |
| Mailing Telephone | 3213973000 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-10-14 |
| Authorized Official Name | MR. DAVID 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 | 100005094 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 070971900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558778779 | Children's Home Society of Florida | Public Health or Welfare | 25 Deltona Blvd Ste 5, St Augustine, FL 32086-4204 | 2014-07-21 |
| 1881900942 | Children's Home Society of Florida | Community/Behavioral Health | 1601 W Gulf Atlantic Hwy, Wildwood, FL 34785-8158 | 2010-08-27 |
| 1235280991 | Children's Home Society of Florida | Case Management | 1631 E Vine St, Kissimmee, FL 34744-3728 | 2007-01-16 |
| 1720136203 | Children's Home Society of Florida | Community/Behavioral Health | 211 S Jan Dr, Panama City, FL 32404-7972 | 2007-01-08 |
| 1891865457 | Children's Home Society of Florida | Community/Behavioral Health | 4300 Sparta Rd, Sebring, FL 33875-5564 | 2006-11-09 |
| 1487724050 | Children's Home Society of Florida | Community/Behavioral Health | 4520 Selvitz Rd, Fort Pierce, FL 34981-4801 | 2006-11-09 |
| 1225118821 | Children's Home Society of Florida | Community/Behavioral Health | 1300 N Palafox St, Suite 101, Pensacola, FL 32501-2664 | 2006-10-17 |
| 1164502548 | Children's Home Society of Florida | Community/Behavioral Health | 1801 Miccosukee Dr, Tallahassee, FL 32308 | 2006-10-17 |
| 1851471213 | Children's Home Society of Florida | Community/Behavioral Health | 8306 Laurel Fair Cir, Suite 160, Tampa, FL 33610-7388 | 2006-10-17 |
| 1043319635 | Children's Home Society of Florida | Case Management | 3535 Lawton Rd, Suite 260, Orlando, FL 32803-3743 | 2006-09-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHILDREN'S HOME SOCIETY OF FLORIDA, THE | 482 S Keller Rd, Orlando, FL 32810-6130 |
| Street Address |
1300 S DUNCAN DR BLDG. D |
| City | TAVARES |
| State | FL |
| Zip Code | 32778-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386107506 | Richard Williams Godsil | Counselor | 1300 S Duncan Dr, Tavares, FL 32778-4206 | 2019-04-14 |
| 1154795276 | Gloria Clark | Counselor | 1300 S Duncan Dr, Building E, Tavares, FL 32778-4223 | 2015-12-01 |
| 1528436300 | Kristan Beasley | Social Worker | 1300 S Duncan Dr, Building C, Tavares, FL 32778-4223 | 2015-09-10 |
| 1538570932 | Gustavo A Galvez | Counselor | 1300 S Duncan Dr, Building C, Tavares, FL 32778-4223 | 2014-05-19 |
| 1083024749 | Ryan E Godwin | Social Worker | 1300 S Duncan Dr, Bldg C, Tavares, FL 32778-4223 | 2014-05-04 |
| 1356768188 | Cyndee Torgler-bandy | Counselor | 1300 S Duncan Dr, Bldg C, Tavares, FL 32778-4223 | 2014-03-18 |
| 1821435306 | Thomas A Smith | Counselor | 1300 S Duncan Dr, Bldg D, Tavares, FL 32778-4223 | 2013-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487173753 | Erica Denise Irvin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4681 Marsh Harbor Dr, Tavares, FL 32778 | 2017-09-18 |
| 1922522499 | J&t Divine Care | Home Health | 1554 Auburn Hills Ct, Tavares, FL 32778 | 2017-07-27 |
| 1841738721 | Kelli Maragh | Behavior Technician | 12237 Tavares Ridge Circle, Tavares, FL 32778 | 2017-02-10 |
| 1831633692 | Amanda Williams Sellers | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778 | 2016-12-13 |
| 1235680042 | Natalie Roaine Ash-maheux | Occupational Therapist | 4501 Waterman Way, Tavares, FL 32778 | 2016-10-17 |
| 1396295713 | Sumiko Burley- Collins | Community Health Worker | 1572 Auburn Hills Court, Tavares, FL 32778 | 2016-10-10 |
| 1295100980 | Sunshine Therapy Group, Pa | Speech-Language Pathologist | 2050 Classique Lane, Tavares, FL 32778 | 2015-12-06 |
| 1093188385 | Jana Michelle England | Counselor | 1300 Duncan, Tavares, FL 32778 | 2015-11-09 |
| 1467865980 | Reshma Balmick | Hearing Instrument Specialist | 500 West Burleigh Blvd., Tavares, FL 32778 | 2014-06-03 |
| 1861825739 | Shelagh Kathryn Wood-gouveia | Nurse Practitioner | 1390 East Burleigh Blvd., Tavares, FL 32778 | 2013-08-15 |
| Find all providers in zip 32778 | ||||
| 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 |
|---|---|---|---|---|
| 1922545490 | Preventive Behaviors & Solutions Inc. | Community/Behavioral Health | 2475 Martins Run, Tavares, FL 32778-5181 | 2017-01-23 |
| 1528434297 | Comprehensive Psychological and Assessment Services | Community/Behavioral Health | 2511 Dora Ave, Tavares, FL 32778-4977 | 2015-08-18 |
| 1164686028 | Lake County Board of County Commissioners | Community/Behavioral Health | 315 W Main St, Tavares, FL 32778-3813 | 2008-07-10 |
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| 1558961110 | Family Evolution Mental Health Care Inc | Community/Behavioral Health | 2500 Nw 79th Ave Ste 255, Doral, FL 33122-1087 | 2020-10-31 |
| 1538769534 | Psycare LLC | Community/Behavioral Health | 10740 W Flagler St Ste 112, Miami, FL 33174-4405 | 2020-10-28 |
| 1508466533 | Exceptional Healthcare Services Corp | Community/Behavioral Health | 13240 N Cleveland Ave Ste 1, North Fort Myers, FL 33903-4855 | 2020-10-28 |
| 1417556903 | Genesis Community Mental Health LLC | Community/Behavioral Health | 6043 Nw 167th St Ste A10, Hialeah, FL 33015-4322 | 2020-10-26 |
| 1871192328 | Wellness Community & Medical Center Inc | Community/Behavioral Health | 946 E 25th St, Hialeah, FL 33013-3404 | 2020-10-25 |
| Find all providers with the same taxonomy | ||||
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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.