Active NPI
Prescribed Pediatric Extended Care, Inc
- Medically Fragile Infants and Children Day Care
- Baton Rouge, LA
National Provider Identifier
1760515977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medically Fragile Infants and Children Day Care
- License
- 60080982
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300003600 | Medicaid | FL | |
| 300003605 | Medicaid | FL | |
| 300003603 | Medicaid | FL | |
| 650311001 | Medicaid | FL | |
| 880567906 | Medicaid | FL | |
| 880567901 | Medicaid | FL | |
| 300003606 | Medicaid | FL | |
| 880567903 | Medicaid | FL | |
| 880567907 | Medicaid | FL | |
| 882377400 | Medicaid | FL | |
| 240005700 | Medicaid | FL | |
| 300003604 | Medicaid | FL | |
| 880567900 | Medicaid | FL | |
| 880567905 | Medicaid | FL | |
| 240012000 | Medicaid | FL | |
| 300047800 | Medicaid | FL | |
| 300256000 | Medicaid | FL | |
| 300256001 | Medicaid | FL | |
| 880567902 | Medicaid | FL | |
| 880567904 | Medicaid | FL |
Other names 1
- Pediatric Health Choice
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2020799 | Pediatric Health Choice | Certificate of waiver | Feb 27, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Pediatric Health Choice
Other organizations with this tax ID 32
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medically Fragile Infants and Children Day Care
- Alexandria, LA
- NPI 1265844013
-
- Medically Fragile Infants and Children Day Care
- Metairie, LA
- NPI 1457753808
-
- Medically Fragile Infants and Children Day Care
- Hammond, LA
- NPI 1619300506
-
- Clinic/Center
- Clearwater, FL
- NPI 1013599257
-
- Medically Fragile Infants and Children Day Care
- Tampa, FL
- NPI 1083164685
-
- Medically Fragile Infants and Children Day Care
- Lakeland, FL
- NPI 1093265514
-
- Clinic/Center
- Ocala, FL
- NPI 1114509072
-
- Behavior Analyst
- Tampa, FL
- NPI 1184953085
-
- Clinic/Center
- Lakeland, FL
- NPI 1326620394
-
- Medically Fragile Infants and Children Day Care
- Clearwater, FL
- NPI 1407303183
-
- Clinic/Center
- Sarasota, FL
- NPI 1407438658
-
- Clinic/Center
- Orlando, FL
- NPI 1528640471
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": "",
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"state": "FL",
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"primary": false
},
{
"code": "261QM3000X",
"taxonomy_group": "",
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"state": "FL",
"license": "6006096",
"primary": false
},
{
"code": "261QM3000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
"state": "FL",
"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",
"state": "FL",
"license": "60080982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300003600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300003605",
"state": "FL"
},
{
"code": "05",
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"issuer": null,
"identifier": "300003603",
"state": "FL"
},
{
"code": "05",
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"issuer": null,
"identifier": "650311001",
"state": "FL"
},
{
"code": "05",
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"issuer": null,
"identifier": "880567906",
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},
{
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"issuer": null,
"identifier": "880567901",
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},
{
"code": "05",
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"issuer": null,
"identifier": "300003606",
"state": "FL"
},
{
"code": "05",
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"issuer": null,
"identifier": "880567903",
"state": "FL"
},
{
"code": "05",
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"identifier": "880567907",
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},
{
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{
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"identifier": "240005700",
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{
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},
{
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},
{
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"issuer": null,
"identifier": "300047800",
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},
{
"code": "05",
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"issuer": null,
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"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300256001",
"state": "FL"
},
{
"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.