NPIMap

Organization Active NPI

Caring Hearts Pediatric Extended Care Center, Inc.

  • Medically Fragile Infants and Children Day Care
  • Naples, FL
National Provider Identifier
1396071569
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X
License
60080990 Issued in FL
Legal business name
CARING HEARTS PEDIATRIC EXTENDED CARE CENTER, INC.
Practice address
2555 Northbrooke Plaza Drive
Naples, FL 34119-7961
Phone
(239) 403-0400
Fax
(239) 261-9615
NPI assigned
Oct 23, 2009
Last updated
May 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Joseph Harrelson
Title
Vice President
Phone
(239) 403-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medically Fragile Infants and Children Day Care 261QM3000X 60080990 FL Primary

Addresses

Primary practice location

2555 Northbrooke Plaza Drive
Naples, FL 34119-7961

Mailing address

2555 Northbrooke Plaza Drive
Naples, FL 34119-7961

Other identifiers 1

IdentifierTypeStateIssuer
113403000MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Caring Hearts Pediatric Extended Care Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2555 Northbrooke Plaza Dr
Naples, FL 34119
Phone (239) 403-0400

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": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1396071569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 NORTHBROOKE PLAZA DRIVE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341197961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 NORTHBROOKE PLAZA DRIVE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341197961",
            "telephone_number": "239-403-0400",
            "fax_number": "239-261-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HEARTS PEDIATRIC EXTENDED CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "HARRELSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "239-403-0400"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "FL",
            "license": "60080990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113403000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.