NPIMap

Organization Active NPI

Florida United Methodist Childrens Home, Inc.

  • Foster Care Agency
  • Enterprise, FL
National Provider Identifier
1215560305
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
FLORIDA UNITED METHODIST CHILDRENS HOME, INC.
Practice address
591 Jacob Brock Ave
Enterprise, FL 32725-8129
Phone
(386) 668-4774
NPI assigned
Feb 17, 2020
Last updated
Feb 24, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA UNITED METHODIST CHILDRENS HOME, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Kaylee Kathryn VanceNPI 1629493291
Title
Director of Utilization Management
Phone
(386) 668-4774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X NU Primary

Addresses

Primary practice location

591 Jacob Brock Ave
Enterprise, FL 32725-8129

Mailing address

51 Childrens Way
Enterprise, FL 32725-8135
Phone (386) 668-4774

National Provider Directory

National Provider Directory
Tax ID family
Florida United Methodist Childrens Home Inc9 organizations share this tax ID, including this one
Part of
Florida United Methodist Childrens Home Inc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

591 Jacob Brock Ave
Enterprise, FL 32725
Phone (386) 668-4774

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1215560305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CHILDRENS WAY",
            "city": "ENTERPRISE",
            "state": "FL",
            "postal_code": "327258135",
            "telephone_number": "386-668-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 JACOB BROCK AVE",
            "city": "ENTERPRISE",
            "state": "FL",
            "postal_code": "327258129",
            "telephone_number": "386-668-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA UNITED METHODIST CHILDRENS HOME, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA UNITED METHODIST CHILDRENS HOME, INC.",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "KAYLEE",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "DIRECTOR OF UTILIZATION MANAGEMENT",
        "authorized_official_telephone_number": "386-668-4774"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.