NPIMap

Organization Active NPI

Florida United Methodist Childrens Home, Inc.

  • Community/Behavioral Health Agency
  • Pinetta, FL
National Provider Identifier
1699355818
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FLORIDA UNITED METHODIST CHILDRENS HOME, INC.
Practice address
1647 NE Captain Buie Rd
Pinetta, FL 32350-2799
Phone
(850) 929-3000
NPI assigned
Apr 12, 2021
Last updated
May 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Kaylee Kathryn Vance, LMFT, LMHCNPI 1629493291
Title
Director of Utilization Management
Phone
(386) 668-4774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1647 NE Captain Buie Rd
Pinetta, FL 32350-2799

Mailing address

51 Childrens Way
Enterprise, FL 32725-8135
Phone (386) 668-4774

Other identifiers 1

IdentifierTypeStateIssuer
010934900MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Florida United Methodist Childrens Home Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

Subparts reporting this organization as parent 6

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

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": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1699355818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CHILDRENS WAY",
            "city": "ENTERPRISE",
            "state": "FL",
            "postal_code": "327258135",
            "telephone_number": "386-668-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 NE CAPTAIN BUIE RD",
            "city": "PINETTA",
            "state": "FL",
            "postal_code": "323502799",
            "telephone_number": "850-929-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA UNITED METHODIST CHILDRENS HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "KAYLEE",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "DIRECTOR OF UTILIZATION MANAGEMENT",
        "authorized_official_telephone_number": "386-668-4774",
        "authorized_official_credential": "LMFT, LMHC"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010934900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinetta, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.