THE CHILDREN'S HOME, INC. (NPI# 1003896606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003896606 |
| Entity Type | Organization |
| Organization Name | THE CHILDREN'S HOME, INC. |
| Practice Address |
10909 Memorial Hwy Tampa FL 33615-2511 |
| Practice Telephone | 8138554435 |
| Practice Fax Number | 8138558640 |
| Mailing Telephone | 8138554435 |
| Mailing Fax Number | 8138558640 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GERARD VENEMAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 8138554435 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194913186 | The Children's Home, Inc. | Counselor | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2007-10-04 |
| 1578785937 | The Children's Home, Inc. | Case Management | 10909 Memorial Hwy, Tampa, FL 33615-2511 | 2007-05-03 |
| 1235277237 | The Children's Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10909 Memorial Hwy, Tampa, FL 33615-2511 | 2007-02-02 |
| 1376609776 | The Children's Home, Inc. | Case Management | 10909 Memorial Hwy, Tampa, FL 33615-2511 | 2006-12-29 |
| 1023176732 | The Children's Home, Inc. | Case Management | 10909 Memorial Hwy, Tampa, FL 33615-2511 | 2006-12-05 |
| Street Address |
10909 MEMORIAL HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33615-2511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430158 | Jordyn Vanvakas | Behavior Technician | 10909 Memorial Hwy, Tampa, FL 33615-2511 | 2020-06-04 |
| 1457997207 | Gabrielle Chanell Balancier | Counselor | 10909 Memorial Hwy, Tampa, FL 33615-2511 | 2019-11-26 |
| 1568830057 | Johnny Zambito | Counselor | 10909 Memorial Hwy, Tampa, FL 33615-2511 | 2015-09-14 |
| 1154725463 | Hannah Buck | Behavioral Analyst | 10909 Memorial Hwy, Tampa, FL 33615-2511 | 2014-10-15 |
| 1841610409 | Margaret Clark | Social Worker | 10909 Memorial Hwy, Tampa, FL 33615-2511 | 2014-04-22 |
| 1952656126 | Katheryne Maria Holtan | Social Worker | 10909 Memorial Hwy, Tampa, FL 33615-2511 | 2012-07-13 |
| 1205196490 | Amanda Hanson | Counselor | 10909 Memorial Hwy, Tampa, FL 33615-2511 | 2012-05-21 |
| 1427365188 | Rebecca M Smith | Counselor | 10909 Memorial Hwy, Tampa, FL 33615-2511 | 2010-09-01 |
| 1467766105 | Andrea Nicole Garcia | Social Worker | 10909 Memorial Hwy, Tampa, FL 33615-2511 | 2010-08-05 |
| 1699939371 | Sandnes Smith Boulanger | Social Worker | 10909 Memorial Hwy, Tampa, FL 33615-2511 | 2008-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083125132 | The Ida House Assisted Living LLC | Assisted Living Facility | 6014 Rosewood Dr, Tampa, FL 33615 | 2017-10-17 |
| 1235671785 | Magnet Home Health Care Services, LLC | Home Health | 5700 Memorial Highway Suite G X H 102, Tampa, FL 33615 | 2016-11-15 |
| 1891247532 | Martin Esuzor | Nurse Practitioner | 7918 Hillsborough Avenue, Tampa, FL 33615 | 2016-10-28 |
| 1902263007 | Marie E. Simeon | Nursing Facility/Intermediate Care Facility | 8206 Pennywell Place, Tampa, FL 33615 | 2016-01-20 |
| 1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
| 1710327101 | Kelly A Alvarez | Case Manager/Care Coordinator | 7007 Cobblewood Ct, Tampa, FL 33615 | 2013-06-28 |
| 1336497080 | Serenity Home of Tampa Alf LLC | Assisted Living Facility | 6013 Cresthill Drive, Tampa, FL 33615 | 2012-08-28 |
| 1063777563 | Jaime Alexander Pacheco | Chiropractor | 6301 Memorial Hwy Suit 304, Tampa, FL 33615 | 2012-07-10 |
| 1558656678 | Scripts Direct, LLC | Pharmacy | 8313 W. Hillsborough Ave., # 260, Tampa, FL 33615 | 2011-06-16 |
| 1508178245 | The Spring of Tampa Bay | Counselor | 2810 N. 35 St, Tampa, FL 33615 | 2010-07-10 |
| Find all providers in zip 33615 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598204786 | Samantha Lamadieu | Custodial Care Facility | 709 S 51st St, Tampa, FL 33619-3703 | 2017-02-21 |
| 1043679590 | Mccall Service, Inc. | Custodial Care Facility | 10211 E Columbus Dr, Tampa, FL 33619-7853 | 2016-02-12 |
| 1821414368 | Patricia Ann Lester | Custodial Care Facility | 4307 E. Powhatan Ave, Tampa, FL 33610 | 2014-03-07 |
| 1598189938 | Willie Ruth Miller | Custodial Care Facility | 4812 S. 86th St, Tampa, FL 33619 | 2014-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241804 | Assisted Living of Florida, Limited, Inc. | Custodial Care Facility | 10860 118th St, Seminole, FL 33778-3625 | 2020-06-29 |
| 1952936841 | Tequesta Dukes | Custodial Care Facility | 1713 W Marshall Lake Dr, Apopka, FL 32703-1622 | 2020-03-11 |
| 1881254712 | Claudette Paul | Custodial Care Facility | 4103 Day Bridge Pl, Ellenton, FL 34222-7236 | 2019-06-13 |
| 1366983140 | Medical Allied Nursing Academy, Inc. | Custodial Care Facility | 750 Plaza Orange Blossom Trail, Suite 264, Orlando, FL 32805 | 2017-03-14 |
| 1578013033 | Aj Care Inc | Custodial Care Facility | 11990 Mellow Ct, West Palm Beach, FL 33411-9127 | 2016-10-09 |
| 1508225053 | Mccall Service, Inc. | Custodial Care Facility | 415 Nw 250th St, Suite 1, Newberry, FL 32669-4473 | 2016-02-12 |
| 1780043232 | Mccall Service, Inc. | Custodial Care Facility | 410 E Paul Russell Rd, Tallahassee, FL 32301-6960 | 2016-02-12 |
| 1588022909 | Brendlyn Assisted Living LLC | Custodial Care Facility | 81 Buttonworth Dr, Palm Coast, FL 32137-3507 | 2016-01-30 |
| 1659743813 | Tender Loving Enrichment Services | Custodial Care Facility | 17434 Nw 11th St, Blountstown, FL 32424 | 2015-10-28 |
| 1710356647 | Mccall Service Inc | Custodial Care Facility | 2861 College St, Jacksonville, FL 32205-7472 | 2015-09-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.