PRESCRIBED PEDIATRIC EXTENDED CARE INC (NPI# 1801346424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801346424 |
| Entity Type | Organization |
| Organization Name | PRESCRIBED PEDIATRIC EXTENDED CARE INC |
| Practice Address |
2025 Sw 75th St Ste 30 Gainesville FL 32607-3453 |
| Mailing Address |
8509 Benjamin Rd Ste D Tampa FL 33634-1224 |
| Practice Telephone | 3523331900 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |
| 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 |
60080982 | FL | Ambulatory Health Care Facilities |
| 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 |
| 1093265514 | Prescribed Pediatric Extended Care Inc | Clinic/Center | 3133 Lakeland Hills Blvd, Suite 1 & 2, Lakeland, FL 33805-2208 | 2016-10-07 |
| 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 |
2025 SW 75TH ST STE 30 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32607-3453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376862870 | Susan Crane Farris | Respiratory Therapist, Registered | 2025 Sw 75th St, Suite 30, Gainesville, FL 32607-3453 | 2010-05-24 |
| 1205297694 | Jennifer Satterlee Bender | Physical Therapist | 2025 Sw 75th St, Gainesville, FL 32607-3453 | 2016-03-11 |
| 1285063412 | Jennifer Wood | Physical Therapist | 2025 Sw 75th St, Suite Number 30, Gainesville, FL 32607-3453 | 2013-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335917 | Jennifer Jay | Behavioral Analyst | 4020 Sw 21st Rd, Gainesville, FL 32607 | 2019-09-19 |
| 1184186942 | The Birth Center At Cwh | Clinic/Center | 4454 Nw 6th Place, Gainesville, FL 32607 | 2019-04-02 |
| 1356823371 | Wendy Gibbs | Marriage & Family Therapist | 200 Nw 75th Drive, Suite B, Gainesville, FL 32607 | 2018-09-06 |
| 1104314368 | Meghan Bowser | Student in an Organized Health Care Education/Training Program | Academic Health Center Room 408, 1600 Sw Archer Road, Gainesville, FL 32607 | 2018-04-24 |
| 1942707328 | Anne Marie Littell | Student in an Organized Health Care Education/Training Program | 1707 N. Main Street, Gainesville, FL 32607 | 2018-04-11 |
| 1609378173 | Jeremy Markoski | Behavior Technician | 2035 Sw 75th St Suite B, Gainesville, FL 32607 | 2018-03-01 |
| 1013428085 | Adaric Kelly | Student in an Organized Health Care Education/Training Program | 502 Sw 34th St Apt 8, Gainesville, FL 32607 | 2017-10-18 |
| 1215454830 | Whitney Kristine Schaff | Dentist | 6110 Nw 1st Pl, Gainesville, FL 32607 | 2017-08-24 |
| 1316476674 | Jason Amadio | Specialist/Technologist | 1000 Sw 62nd Blvd, Gainesville, FL 32607 | 2017-06-08 |
| 1245784552 | Traci Pettigrew | Acupuncturist | 4001 Newberry Rd A3, Gainesville, FL 32607 | 2016-08-04 |
| Find all providers in zip 32607 | ||||
| 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 | GAINESVILLE |
| Zip Code | 32607 |
Please comment or provide details below to improve the information on PRESCRIBED PEDIATRIC EXTENDED CARE INC.
| 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.