Henderson's Foster Care Home, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

FOSTER CARE Issued in FL

Legal business name

HENDERSON'S FOSTER CARE HOME, INC.

Practice address

2563 Sheffield Dr
Deltona, FL 32738-8807

Phone

(386) 574-1570

Fax

(386) 574-1562

NPI assigned

Sep 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ervin Leroy Henderson, OWNER

Title

President

Phone

(386) 574-1570

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1033305032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2563 SHEFFIELD DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327388807",
            "telephone_number": "386-574-1570",
            "fax_number": "386-574-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 SHEFFIELD DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327388807",
            "telephone_number": "386-574-1570",
            "fax_number": "386-574-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON'S FOSTER CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ERVIN",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-574-1570",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "FOSTER CARE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Gossman Hauge, L.M., C.P.M
• Andrew Hayden, MD
• Lezlie Hayward, LPN
• Head Over Heart Counseling Services, LLC
• Andrew Henderson, PTA
• Novella Henry
• Ronald Henry, RPH
• Stephen Craig Henry II, D.C.
• Yurisandra Hernandez Morales
• Jamilla Herring

• Developmentally Disabled Services Day Training Agency in Deltona, FL
• Providers in Deltona, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.