Active NPI
Children'S Care Campus, Inc.
- Medically Fragile Infants and Children Day Care
- Deltona, FL
National Provider Identifier
1396130670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medically Fragile Infants and Children Day Care
- Legal business name
- CHILDREN'S CARE CAMPUS, INC.
- Practice address
- 2120 Saxon Blvd Ste 201
Deltona, FL 32725-3279 - Phone
- (407) 513-3000
- Fax
- (407) 515-6537
- NPI assigned
- Apr 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Angela N. Harris, OTR/L, MOT, M.ED
- Title
- Clinic Director
- Phone
- (407) 513-3077
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Pediatric Physical Therapist | 2251P0200X | |||
| Occupational Therapist | 225X00000X | |||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Registered Respiratory Therapist | 227900000X | |||
| Neonatal/Pediatric Registered Respiratory Therapist | 2279P3900X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Medically Fragile Infants and Children Day Care | 261QM3000X | Primary |
Addresses
Primary practice location
2120 Saxon Blvd Ste 201
Deltona, FL 32725-3279
Mailing address
4448 Edgewater Dr
Orlando, FL 32804-1216
Phone (407) 513-3000
Other names 1
- CHILDRENFIRST PPEC
National Provider Directory
National Provider Directory- Tax ID family
- Children'S Care Campus Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Orlando, FL
- NPI 1265510523
-
- Medically Fragile Infants and Children Day Care
- Kissimmee, FL
- NPI 1548623291
-
- Medically Fragile Infants and Children Day Care
- Orlando, FL
- NPI 1609378116
-
- Medically Fragile Infants and Children Day Care
- Orlando, FL
- NPI 1689035602
Locations
2120 Saxon Blvd
Ste 201
Deltona, FL 32725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429056000000",
"number": "1396130670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4448 EDGEWATER DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328041216",
"telephone_number": "407-513-3000",
"fax_number": "407-515-6537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 SAXON BLVD STE 201",
"city": "DELTONA",
"state": "FL",
"postal_code": "327253279",
"telephone_number": "407-513-3000",
"fax_number": "407-515-6537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S CARE CAMPUS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-02",
"last_updated": "2015-04-15",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "407-513-3077",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "OTR/L, MOT, M.ED"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "227900000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "2279P3900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM3000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CHILDRENFIRST PPEC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.