Organization Active NPI

Children'S Home Scociety

  • Community/Behavioral Health Agency
  • Fort Lauderdale, FL
National Provider Identifier
1629340435
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
ISW5501 Issued in FL
Legal business name
CHILDREN'S HOME SCOCIETY
Practice address
401 NE 4TH St
Fort Lauderdale, FL 33301-1151
Phone
(954) 453-6400
NPI assigned
Feb 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Nanoucheka Chevelon, MSW
Title
Counselor
Phone
(561) 305-5976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X ISW5501 FL Primary

Addresses

Primary practice location

401 NE 4TH St
Fort Lauderdale, FL 33301-1151

Mailing address

22319 SW 65TH Ave
Boca Raton, FL 33428-6010

National Provider Directory

National Provider Directory

Locations

401 NE 4th St
Ft Lauderdale, FL 33301
Phone (954) 453-6400

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1629340435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22319 SW 65TH AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NE 4TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011151",
            "telephone_number": "954-453-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOME SCOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "CHEVELON",
        "authorized_official_first_name": "NANOUCHEKA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "561-305-5976",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "ISW5501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.