PRESCRIBED PEDIATRIC EXTENDED CARE INC (NPI# 1093265514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093265514 |
| Entity Type | Organization |
| Organization Name | PRESCRIBED PEDIATRIC EXTENDED CARE INC |
| Other Organization Name | PEDIATRIC HEALTH CHOICE |
| Practice Address |
3133 Lakeland Hills Blvd Suite 1 & 2 Lakeland FL 33805-2208 |
| Mailing Address |
8509 Benjamin Rd Ste D Tampa FL 33634-1224 |
| Practice Telephone | 8636030515 |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |
| Authorized Official Name | HEIDI TOSTI (VP FINANCE) |
| Authorized Official Telephone | 8138800320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM3000X |
Clinic/Center Specialization: Medically Fragile Intants and Children Day Care |
60080962 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pediatric Health Choice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083164685 | Prescribed Pediatric Extended Care Inc | Clinic/Center | 4602 N Armenia Ave # C, Tampa, FL 33603-2626 | 2016-10-06 |
| 1881053098 | Prescribed Pediatric Extended Care Inc | Clinic/Center | 909 Flynt Dr, Flowood, MS 39232-9572 | 2016-02-16 |
| 1598123572 | Prescribed Pediatric Extended Care Inc | Clinic/Center | 611 Pegram Dr, Tupelo, MS 38801-6321 | 2016-02-04 |
| 1619427135 | Prescribed Pediatric Extended Care Inc | Clinic/Center | 5899 Whitfield Ave, Suite 301, Sarasota, FL 34243-6152 | 2016-10-07 |
| 1801346424 | Prescribed Pediatric Extended Care Inc | Clinic/Center | 2025 Sw 75th St, Ste 30, Gainesville, FL 32607-3453 | 2016-10-06 |
| 1942750542 | Prescribed Pediatric Extended Care Inc | Clinic/Center | 2102 Sw 20th Pl, Building 500, Ocala, FL 34471-0861 | 2016-10-06 |
| 1548710163 | Prescribed Pediatric Extended Care Inc | Clinic/Center | 125 Executive Cir, Daytona Beach, FL 32114-1180 | 2016-10-06 |
| 1942750567 | Prescribed Pediatric Extended Care Inc | Clinic/Center | 1200 W Fairbanks Ave, Orlando, FL 32804-1206 | 2016-10-06 |
| 1871040527 | Prescribed Pediatric Extended Care Inc | Clinic/Center | 330 S 10th St, Haines City, FL 33844-5602 | 2016-09-09 |
| 1407303183 | Prescribed Pediatric Extended Care Inc | Clinic/Center | 2364 Drew St, Clearwater, FL 33765-3310 | 2016-09-09 |
| Street Address |
3133 LAKELAND HILLS BLVD SUITE 1 & 2 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154532182 | Karen Hollwedel | Occupational Therapist | 3133 Lakeland Hills Blvd, Suite 1 & 2, Lakeland, FL 33805-2208 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 261QM3000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medically Fragile Intants and Children Day Care |
| An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647363 | Shining Stars Pediatric Extended Care, LLC | Clinic/Center | 5201 Ravenswood Rd Ste 110, Ft Lauderdale, FL 33312-6004 | 2020-10-21 |
| 1275131575 | Angels On Earth Ppec, Inc. | Clinic/Center | 335 Pineda Ct Ste 104, Melbourne, FL 32940-7504 | 2020-10-09 |
| 1609488840 | Gencare Kids, LLC | Clinic/Center | 2557 E Irlo Bronson Memorial Hwy, Kissimmee, FL 34744-4993 | 2020-08-19 |
| 1659982742 | Banyan Pediatric Care Centers Pasco, LLC | Clinic/Center | 4008 Little Rd, New Port Richey, FL 34655-1719 | 2020-08-12 |
| 1205447398 | Banyan Pediatric Care Centers Sarasota, LLC | Clinic/Center | 3251 17th St Unit 200, Sarasota, FL 34235-8900 | 2020-08-12 |
| 1992330757 | Angels On Earth Ppec, Inc. | Clinic/Center | 110 Patterson Rd Ste 2, Haines City, FL 33844-7840 | 2020-03-11 |
| 1669004206 | Angels Special Care Inc | Clinic/Center | 17571 S Dixie Hwy, Palmetto Bay, FL 33157-5435 | 2020-02-11 |
| 1871132183 | Abc Pediatrics of Florida Inc | Clinic/Center | 14856 Nw 7th Ave, Miami, FL 33168-3106 | 2020-01-03 |
| 1548801848 | Caresquare of Florida LLC | Clinic/Center | 100 S Congress Ave Ste 2230e, Delray Beach, FL 33445-4642 | 2019-10-08 |
| 1326696758 | Pedikidz Ppec | Clinic/Center | 7800 Sw 87th Ave Ste A-100, Miami, FL 33173-3570 | 2019-08-28 |
| Find all providers with the same taxonomy | ||||
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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.