Pediatric Alternative Treatment Care, Housing & Evaluation Services

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

License

60080987 Issued in FL

Legal business name

PEDIATRIC ALTERNATIVE TREATMENT CARE, HOUSING & EVALUATION SERVICES

Doing business as

Patches

Practice address

4300 Okeechobee Rd
Fort Pierce, FL 34947-5407

Phone

(772) 462-6601

Fax

(772) 462-6632

NPI assigned

Jun 10, 2008

Last updated

Sep 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Azona Kyle Smith

Title

Ceo

Phone

(305) 242-8122

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PATCHES Doing business as

Tax ID family

Patches2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pediatric Alternative Treatment Care, Housing & Evaluation Services

  dba Patches

  • General Care Registered Respiratory Therapist
  • Fort Pierce, FL
  • NPI 1245490465
  NPD tax ID

Locations

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.

• Michelle Marie Kee-Smith, CRT

  • Certified Respiratory Therapist
  • Fort Pierce, FL
  • NPI 1952758302
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1740440056",
    "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": "4300 OKEECHOBEE RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349475407",
            "telephone_number": "772-462-6601",
            "fax_number": "772-462-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ALTERNATIVE TREATMENT CARE, HOUSING & EVALUATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2019-09-11",
        "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."
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "FL",
            "license": "60080987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240023501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATCHES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PATCHES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul N Gotkin & David a Gubernick DPM PA (Treasure Coast Podiatry)
• Chelsea Paulinise
• Renee M Payne, PHLEBOTOMIST
• Edward Vincent Pearsaul
• Pediatric Alternative Treatment Care, Housing & Evaluation Services (Patches)
• Pediatric Intensivist Group LLC (Pediatric Intensivist Group- Lawnwood)
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida Inc
• Edward W Pelote, M.D.
• Marcus Pelt I

• Medically Fragile Infants and Children Day Care in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Medically Fragile Infants and Children Day Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.