NPIMap

Organization Active NPI

Children's Home Society of Florida

  • Public Health or Welfare Agency
  • St Augustine, FL
National Provider Identifier
1558778779
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
07-1582-000-05 Issued in FL
Legal business name
CHILDREN'S HOME SOCIETY OF FLORIDA
Practice address
25 Deltona Blvd Ste 5
St Augustine, FL 32086-4204
Phone
(904) 794-0268
NPI assigned
Jul 21, 2014
Last updated
Jul 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
Mr. Brandon Merkley
Title
Outpatient Program Supervisor
Phone
(904) 794-0268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 07-1582-000-05 FL Primary

Addresses

Primary practice location

25 Deltona Blvd Ste 5
St Augustine, FL 32086-4204

Mailing address

25 Deltona Blvd Ste 5
St Augustine, FL 32086-4204

National Provider Directory

National Provider Directory
Tax ID family
Community Life Dev86 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

25 Deltona Blvd
Ste 5
St Augustine, FL 32086
Phone (904) 794-0268

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": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1558778779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 DELTONA BLVD STE 5",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 DELTONA BLVD STE 5",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864204",
            "telephone_number": "904-794-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOME SOCIETY OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "MERKLEY",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OUTPATIENT PROGRAM SUPERVISOR",
        "authorized_official_telephone_number": "904-794-0268",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": "07-1582-000-05",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.