Organization Active NPI

Great Expectations Kid'S Home

  • Community/Behavioral Health Agency
  • Largo, FL
National Provider Identifier
1992309660
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GREAT EXPECTATIONS KID'S HOME
Practice address
11216 108TH Way
Largo, FL 33778-3320
Phone
(727) 488-1493
NPI assigned
Nov 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Mr. George F Ensor
Title
Adminitrator
Phone
(727) 735-1317

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Foster Care Agency 253J00000X

Addresses

Primary practice location

11216 108TH Way
Largo, FL 33778-3320

Mailing address

13494 Walsingham Rd
Largo, FL 33774-3527
Phone (727) 735-1317

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1992309660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13494 WALSINGHAM RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743527",
            "telephone_number": "727-735-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11216 108TH WAY",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783320",
            "telephone_number": "727-488-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT EXPECTATIONS KID'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "ENSOR",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINITRATOR",
        "authorized_official_telephone_number": "727-735-1317",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.