NPIMap

Organization Active NPI

Childrens Home Society of FL

  • Respite Care
  • Fort Pierce, FL
National Provider Identifier
1538449681
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
59-019243 Issued in FL
Legal business name
CHILDRENS HOME SOCIETY OF FL
Practice address
4520 Selvitz Rd
Fort Pierce, FL 34981-4801
Phone
(772) 460-9752
NPI assigned
Aug 22, 2011
Last updated
Aug 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Reshanna Williams
Title
Clinical Superviser
Phone
(772) 460-9752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 59-019243 FL Primary

Addresses

Primary practice location

4520 Selvitz Rd
Fort Pierce, FL 34981-4801

Mailing address

4520 Selvitz Rd
Fort Pierce, FL 34981-4801

National Provider Directory

National Provider Directory

Locations

4520 Selvitz Rd
Fort Pierce, FL 34981
Phone (772) 460-9752

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1538449681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 SELVITZ RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349814801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 SELVITZ RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349814801",
            "telephone_number": "772-460-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS HOME SOCIETY OF FL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RESHANNA",
        "authorized_official_title_or_position": "CLINICAL SUPERVISER",
        "authorized_official_telephone_number": "772-460-9752"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "59-019243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.