PRESCRIBED PEDIATRIC EXTENDED CARE INC (NPI# 1881053098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881053098 |
| Entity Type | Organization |
| Organization Name | PRESCRIBED PEDIATRIC EXTENDED CARE INC |
| Other Organization Name | PEDIATRIC HEALTH CHOICE |
| Practice Address |
909 Flynt Dr Flowood MS 39232-9572 |
| Mailing Address |
8509 Benjamin Suite D Tampa FL 33634 |
| Practice Telephone | 8138700000 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |
| 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 |
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 |
| 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 |
| 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 |
909 FLYNT DR |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| 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 |
|---|---|---|---|---|
| 1780293787 | Starkville Pediatric Extended Care LLC | Clinic/Center | 9771 Ms Highway 25, Starkville, MS 39759-4944 | 2020-07-26 |
| 1598123572 | Prescribed Pediatric Extended Care Inc | Clinic/Center | 611 Pegram Dr, Tupelo, MS 38801-6321 | 2016-02-04 |
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.