NPIMap

Organization Active NPI

Prescribed Pediatric Extended Care, Inc

  • Medically Fragile Infants and Children Day Care
  • Daytona Beach, FL
National Provider Identifier
1548710163
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X
License
60080968 Issued in FL
Legal business name
PRESCRIBED PEDIATRIC EXTENDED CARE, INC
Practice address
125 Executive Cir
Daytona Beach, FL 32114-1180
Phone
(386) 253-6868
NPI assigned
Oct 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Heidi Tosti
Title
VP Finance
Phone
(813) 880-0320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medically Fragile Infants and Children Day Care 261QM3000X 60080968 FL Primary

Addresses

Primary practice location

125 Executive Cir
Daytona Beach, FL 32114-1180

Mailing address

8509 Benjamin Rd
Ste D
Tampa, FL 33634-1224
Phone (813) 880-0320

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Health Choice33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Locations

125 Executive Cir
Daytona Beach, FL 32114
Phone (386) 253-6868

Practitioners & affiliated clinicians

Practitioners 2

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": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1548710163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8509 BENJAMIN RD",
            "address_2": "STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341224",
            "telephone_number": "813-880-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EXECUTIVE CIR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141180",
            "telephone_number": "386-253-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIBED PEDIATRIC EXTENDED CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "TOSTI",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "813-880-0320"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "FL",
            "license": "60080968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.