NPIMap

Organization Active NPI

Hibiscus Children'S Center, Inc.

  • Community/Behavioral Health Agency
  • Jensen Beach, FL
National Provider Identifier
1477513935
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
03060136 Issued in FL
Legal business name
HIBISCUS CHILDREN'S CENTER, INC.
Practice address
2400 NE Dixie Hwy
Jensen Beach, FL 34957-5949
Phone
(772) 334-0701
Fax
(772) 334-0702
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Kathryn M Garbowski, M.S.
Title
Chief Administrative Officer
Phone
(772) 334-9311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 03060136 FL
Community/Behavioral Health Agency 251S00000X 03060136 FL Primary

Addresses

Primary practice location

2400 NE Dixie Hwy
Jensen Beach, FL 34957-5949

Mailing address

2400 NE Dixie Hwy
Jensen Beach, FL 34957-5949
Phone (772) 334-9311

Other identifiers 3

IdentifierTypeStateIssuer
070709100MedicaidFL
070709106MedicaidFL
070709109MedicaidFL

Other names 1

  • Hibiscus Children's Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Hibiscus Children'S Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

2400 NE Dixie Hwy
Jensen Beach, FL 34957
Phone (772) 334-0701

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1477513935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 NE DIXIE HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575949",
            "telephone_number": "772-334-9311",
            "fax_number": "772-334-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 NE DIXIE HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575949",
            "telephone_number": "772-334-0701",
            "fax_number": "772-334-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIBISCUS CHILDREN'S CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "GARBOWSKI",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "772-334-9311",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "03060136",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "03060136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070709100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070709106",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070709109",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hibiscus Children's Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.