PEDIATRIC ALTERNATIVE TREATMENT CARE HOUSING AND EVALUATION SERVICES I (NPI# 1689758328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689758328 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ALTERNATIVE TREATMENT CARE HOUSING AND EVALUATION SERVICES I |
| Other Organization Name | PATCHES |
| Practice Address |
335 S Krome Ave Suite 104-107 Florida City FL 33034-4906 |
| Mailing Address |
335 S Krome Ave Suite 104 Florida City FL 33034-4906 |
| Practice Telephone | 3052428122 |
| Practice Fax Number | 3052428837 |
| Mailing Telephone | 3052428122 |
| Mailing Fax Number | 3052428837 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-11-20 |
| Authorized Official Name | MRS. AZONA KYLE SMITH (CEO) |
| Authorized Official Telephone | 3052428122 |
| Authorized Official Credential | RN.,BSN |
| 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 240023500 | 05 |
| Other Name | Type Code |
|---|---|
| PATCHES | Doing Business As Name - Organization |
| Street Address |
335 S KROME AVE SUITE 104-107 |
| City | FLORIDA CITY |
| State | FL |
| Zip Code | 33034-4906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184907875 | Bedoor Nagshabandi | Speech-Language Pathologist | 335 S Krome Ave, Florida City, FL 33034-4906 | 2011-09-20 |
| 1700174455 | Nicole Gaffney | Speech-Language Pathologist | 335 S Krome Ave, Florida City, FL 33034-4906 | 2011-07-15 |
| 1376838284 | Grace Josefa Van-niel | Speech-Language Pathologist | 335 S Krome Ave, Ste. 106, Florida City, FL 33034-4906 | 2011-06-20 |
| 1629232376 | Phedette Courage | Respiratory Therapist, Certified | 335 S Krome Ave, Florida City, FL 33034-4906 | 2008-07-11 |
| 1225225196 | Deborah Lee Dahl-dawkins | Respiratory Therapist, Certified | 335 S Krome Ave, Suite 104, Florida City, FL 33034-4906 | 2007-09-25 |
| 1760608723 | Pediatric Alternative Treatment, Care, Housing & Evaluation Services | Physical Therapist | 335 S Krome Ave, Suite 104-107, Florida City, FL 33034-4906 | 2007-04-18 |
| 1679618813 | Sandra Alisa Sheffield | Respiratory Therapist, Registered | 335 S Krome Ave, Florida City, FL 33034-4906 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497310114 | Aprea Home Health Inc. | Assisted Living Facility | 840 Sw 5 Street, Florida City, FL 33034 | 2019-05-08 |
| 1700371549 | Daniel Max & Marcandrea LLC | Optometrist | 33497 S Dixie Hwy Ste 102, Florida City, FL 33034 | 2018-06-25 |
| 1003313404 | Aigbovboise Ayo Ehabahe | Behavior Technician | 341 Ne 2nd Street Apt. 105, Florida City, FL 33034 | 2018-04-11 |
| 1164924619 | Martinez Transportation Inc | Non-emergency Medical Transport (VAN) | 335 S Krome City, Florida City, FL 33034 | 2018-03-01 |
| 1700385457 | Penelope A Zaiter | Nurse Practitioner | 530 Sw 1st Street, Florida City, FL 33034 | 2018-02-08 |
| 1750890661 | Dennis Estrada Rodrigo | Behavior Technician | 1149 Independence Trail Apt K, Homestead, FL 33034 | 2017-09-22 |
| 1649799396 | Nelsaelena Suarez | Behavior Technician | 833 Sw 5 St, Florida City, FL 33034 | 2017-09-13 |
| 1851837249 | Yudelis Anzardo | Behavior Technician | 36401 Sw 214 Ave, Homestead, FL 33034 | 2017-01-10 |
| 1265780514 | Jorge Adalberto Aguilar | General Practice | 19000 Sw 377th. Street, Dade Correctional Institution, Homestead, FL 33034 | 2012-08-16 |
| 1205106051 | Karen Ivette Fernandez De Castro | Occupational Therapist | 756 West Palm Drive, Florida City, FL 33034 | 2012-01-11 |
| Find all providers in zip 33034 | ||||
| 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 | ||||
| City | FLORIDA CITY |
| Zip Code | 33034 |
Please comment or provide details below to improve the information on PEDIATRIC ALTERNATIVE TREATMENT CARE HOUSING AND EVALUATION SERVICES I.
| 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.