NPIMap

Organization Active NPI

Children's Home Society

  • Case Management Agency
  • Winter Park, FL
National Provider Identifier
1730484601
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CHILDREN'S HOME SOCIETY
Practice address
1485 S Semoran Blvd
Suite 1402
Winter Park, FL 32792-5533
Phone
(321) 397-3000
Fax
(407) 681-5478
NPI assigned
Jan 24, 2011
Last updated
Jan 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Mr. David Bundy
Title
Ceo
Phone
(321) 397-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1485 S Semoran Blvd
Suite 1402
Winter Park, FL 32792-5533

Mailing address

1485 S Semoran Blvd
Suite 1402
Winter Park, FL 32792-5533
Phone (321) 397-3000

Other identifiers 1

IdentifierTypeStateIssuer
750450100MedicaidFL

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

1485 S Semoran Blvd
Ste 1402
Winter Park, FL 32792
Phone (321) 397-5266

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1730484601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 S SEMORAN BLVD",
            "address_2": "SUITE 1402",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925533",
            "telephone_number": "321-397-3000",
            "fax_number": "407-681-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 S SEMORAN BLVD",
            "address_2": "SUITE 1402",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925533",
            "telephone_number": "321-397-3000",
            "fax_number": "407-681-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOME SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "BUNDY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-397-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "750450100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.