Active NPI
Pediatric Alternative Treatment Care Housing and Evaluation Services I
- Medically Fragile Infants and Children Day Care
- Florida City, FL
National Provider Identifier
1689758328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medically Fragile Infants and Children Day Care
- Legal business name
- PEDIATRIC ALTERNATIVE TREATMENT CARE HOUSING AND EVALUATION SERVICES I
- Practice address
- 335 S Krome Ave
Suite 104-107
Florida City, FL 33034-4906 - Phone
- (305) 242-8122
- Fax
- (305) 242-8837
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Azona Kyle Smith, RN.,BSN
- Title
- Ceo
- Phone
- (305) 242-8122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medically Fragile Infants and Children Day Care | 261QM3000X | Primary |
Addresses
Primary practice location
335 S Krome Ave
Suite 104-107
Florida City, FL 33034-4906
Mailing address
335 S Krome Ave
Suite 104
Florida City, FL 33034-4906
Phone (305) 242-8122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240023500 | Medicaid | FL |
Other names 1
- PATCHES
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574208000000",
"number": "1689758328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 S KROME AVE",
"address_2": "SUITE 104",
"city": "FLORIDA CITY",
"state": "FL",
"postal_code": "330344906",
"telephone_number": "305-242-8122",
"fax_number": "305-242-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 S KROME AVE",
"address_2": "SUITE 104-107",
"city": "FLORIDA CITY",
"state": "FL",
"postal_code": "330344906",
"telephone_number": "305-242-8122",
"fax_number": "305-242-8837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC ALTERNATIVE TREATMENT CARE HOUSING AND EVALUATION SERVICES I",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2019-11-20",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "AZONA",
"authorized_official_middle_name": "KYLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "305-242-8122",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN.,BSN"
},
"taxonomies": [
{
"code": "261QM3000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240023500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PATCHES",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PATCHES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Florida City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.