Pediatric Alternative Treatment Care, Housing & Evaluation Services

Primary specialty

General Care Registered Respiratory TherapistTaxonomy code 2279G1100X

License

891891900 Issued in FL

Legal business name

PEDIATRIC ALTERNATIVE TREATMENT CARE, HOUSING & EVALUATION SERVICES

Practice address

4300 Okeechobee Rd
Fort Pierce, FL 34947-5407

Phone

(772) 462-6601

NPI assigned

Jun 11, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Azona Kyle Smith, RN, BSN

Title

Administrator

Phone

(305) 242-8122

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PATCHES Doing business as

Tax ID family

Patches2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pediatric Alternative Treatment Care, Housing & Evaluation Services

  • Medically Fragile Infants and Children Day Care
  • Fort Pierce, FL
  • NPI 1740440056
  NPD tax ID

Practitioners 1

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

• Michelle Marie Kee-Smith, CRT

  • Certified Respiratory Therapist
  • Fort Pierce, FL
  • NPI 1952758302
  NPD (past)

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1245490465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 S KROME AVE",
            "address_2": "SUITE 104",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330344906",
            "telephone_number": "305-242-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 OKEECHOBEE RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349475407",
            "telephone_number": "772-462-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ALTERNATIVE TREATMENT CARE, HOUSING & EVALUATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AZONA",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-242-8122",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "2279G1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "FL",
            "license": "891891900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891861900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATCHES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PATCHES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul B. Moll, O.D. LLC
• Paul N Gotkin & David a Gubernick DPM PA
• Chelsea Paulinise
• Renee M Payne, PHLEBOTOMIST
• Edward Vincent Pearsaul
• Pediatric Alternative Treatment Care, Housing & Evaluation Services
• Pediatric Intensivist Group LLC
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida Inc
• Edward W Pelote, M.D.

• General Care Registered Respiratory Therapist in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• General Care Registered Respiratory Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.