Organization Active NPI

Prescribed Pediatric Extended Care, Inc

  • Medically Fragile Infants and Children Day Care
  • Baton Rouge, LA
National Provider Identifier
1760515977
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X
License
60080982 Issued in FL
Legal business name
PRESCRIBED PEDIATRIC EXTENDED CARE, INC
Practice address
2355 Drusilla LN
Baton Rouge, LA 70809-1443
Phone
(225) 231-5880
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Heidi Tosti
Title
VP Finance
Phone
(813) 880-0320

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Medically Fragile Infants and Children Day Care 261QM3000X 6009096 FL
Medically Fragile Infants and Children Day Care 261QM3000X 60080968 FL
Medically Fragile Infants and Children Day Care 261QM3000X 60080972 FL
Medically Fragile Infants and Children Day Care 261QM3000X 60080962 FL
Medically Fragile Infants and Children Day Care 261QM3000X 60080977 FL
Medically Fragile Infants and Children Day Care 261QM3000X 6006096 FL
Medically Fragile Infants and Children Day Care 261QM3000X 60080966 FL
Medically Fragile Infants and Children Day Care 261QM3000X 6003096 FL
Medically Fragile Infants and Children Day Care 261QM3000X 60080982 FL Primary

Addresses

Primary practice location

2355 Drusilla LN
Baton Rouge, LA 70809-1443

Mailing address

8509 Benjamin Road
Suite a D
Tampa, FL 33634-1224
Phone (813) 880-0220

Other identifiers 20

IdentifierTypeStateIssuer
300003600MedicaidFL
300003605MedicaidFL
300003603MedicaidFL
650311001MedicaidFL
880567906MedicaidFL
880567901MedicaidFL
300003606MedicaidFL
880567903MedicaidFL
880567907MedicaidFL
882377400MedicaidFL
240005700MedicaidFL
300003604MedicaidFL
880567900MedicaidFL
880567905MedicaidFL
240012000MedicaidFL
300047800MedicaidFL
300256000MedicaidFL
300256001MedicaidFL
880567902MedicaidFL
880567904MedicaidFL

Other names 1

  • Pediatric Health Choice Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2020799Pediatric Health Choice2355 Drusilla Lane, Baton Rouge, LA 70809Certificate of waiverFeb 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Health Choice33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1760515977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8509 BENJAMIN ROAD",
            "address_2": "SUITE A D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341224",
            "telephone_number": "813-880-0220",
            "fax_number": "813-880-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 DRUSILLA LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091443",
            "telephone_number": "225-231-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIBED PEDIATRIC EXTENDED CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "TOSTI",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "813-880-0320"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "FL",
            "license": "6009096",
            "primary": false
        },
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "FL",
            "license": "60080968",
            "primary": false
        },
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "FL",
            "license": "60080972",
            "primary": false
        },
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "FL",
            "license": "60080962",
            "primary": false
        },
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "FL",
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            "primary": false
        },
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
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            "primary": false
        },
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
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            "license": "60080966",
            "primary": false
        },
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "FL",
            "license": "6003096",
            "primary": false
        },
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
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            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
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            "issuer": null,
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "650311001",
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        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "880567906",
            "state": "FL"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "880567901",
            "state": "FL"
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        {
            "code": "05",
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "880567903",
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        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "880567907",
            "state": "FL"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "882377400",
            "state": "FL"
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "240005700",
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            "code": "05",
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        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "880567900",
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            "issuer": null,
            "identifier": "880567905",
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        },
        {
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            "issuer": null,
            "identifier": "240012000",
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "300047800",
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            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300256000",
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            "code": "05",
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            "issuer": null,
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880567902",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880567904",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Health Choice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.