Teenage Mentoring, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

TEENAGE MENTORING, INC.

Practice address

7261 NW 16 Street
B126
Plantation, FL 33313

Phone

(954) 581-8454

Fax

(954) 581-8252

NPI assigned

Oct 27, 2009

Organization subpart

No

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

Authorized official

Name

Miss Elizabeth Theola Edwards, RCSWI

Title

Ceo/Persident

Phone

(954) 581-8454

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1831425883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223333",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330223333",
            "telephone_number": "954-581-8454",
            "fax_number": "954-581-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7261 NW 16 STREET",
            "address_2": "B126",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-581-8454",
            "fax_number": "954-581-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEENAGE MENTORING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "THEOLA",
        "authorized_official_title_or_position": "CEO/PERSIDENT",
        "authorized_official_telephone_number": "954-581-8454",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RCSWI"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenee Taylor
• Shari Taylor
• Stephen Michael Taylor, CRNA
• Elsa Lesley Tchouambou Pougoue, DO
• TDC Plantation, PLLC
• Alicia Teeters, DPT
• Jacob Charles Teichner, DDS
• Stephanie Tejada, MD
• Beatriz Christina Tejera, DDS, MS
• Paul Henri Telson, M.D.

• In Home Supportive Care Agency in Plantation, FL
• Providers in Plantation, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.