The Children'S Home, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

SW6638 Issued in FL

Legal business name

THE CHILDREN'S HOME, INC.

Practice address

10909 Memorial Hwy
Tampa, FL 33615-2511

Phone

(813) 855-4435

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sandnes Smith Boulanger, MSWNPI 1699939371

Title

Counseling Services Manager

Phone

(813) 855-4435

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandnes Smith Boulanger, LCSW

  • Clinical Social Worker
  • Tampa, FL
  • NPI 1699939371
  NPD (past) Authorized official

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1235277237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 39TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337035918",
            "telephone_number": "727-822-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152511",
            "telephone_number": "813-855-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "BOULANGER",
        "authorized_official_first_name": "SANDNES",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "COUNSELING SERVICES MANAGER",
        "authorized_official_telephone_number": "813-855-4435",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "FL",
            "license": "SW6638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767412100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Center for Internal Medicine, Inc
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• The Children'S Home, Inc.
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• The Children'S Home, Inc.
• The Childrens Doctor of Tampabay, Jacquelin Eniebles MD, PLLC
• The Clinicians, LLC

• All providers in Tampa, FL
• Emotionally Disturbed Childrens' Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.