NPIMap

Organization Active NPI

Children's Home Society of Florida

  • Community/Behavioral Health Agency
  • Wildwood, FL
National Provider Identifier
1881900942
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
100005094 Issued in FL
Legal business name
CHILDREN'S HOME SOCIETY OF FLORIDA
Practice address
1601 W Gulf Atlantic Hwy
Wildwood, FL 34785-8158
Phone
(352) 748-9999
NPI assigned
Aug 27, 2010
Last updated
Oct 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 100005094 FL Primary

Addresses

Primary practice location

1601 W Gulf Atlantic Hwy
Wildwood, FL 34785-8158

Mailing address

1485 S Semoran Blvd
Suite 1448
Winter Park, FL 32792-5533
Phone (321) 397-3000

Other identifiers 1

IdentifierTypeStateIssuer
070971900MedicaidFL

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 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1881900942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 S SEMORAN BLVD",
            "address_2": "SUITE 1448",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925533",
            "telephone_number": "321-397-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W GULF ATLANTIC HWY",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347858158",
            "telephone_number": "352-748-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOME SOCIETY OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "BUNDY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "321-397-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "100005094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070971900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.