FLORIDA UNITED METHODIST CHILDREN'S HOME INC. NPI 1225006059

NPI Information

NPI: 1225006059
Provider Name: FLORIDA UNITED METHODIST CHILDREN'S HOME INC.

Other Name: FUMCH

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
51 CHILDREN'S WAY
ENTERPRISE, FL
ZIP 32725
Phone: (386) 668-4774
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FLORIDA UNITED METHODIST CHILDREN'S HOME INC. is a residential treatment facility emotionally disturbed children in Enterprise, FL. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. FLORIDA UNITED METHODIST CHILDREN'S HOME INC. NPI is 1225006059. The provider is registered as an organization entity type.
The provider Other Name Is Fumch.

The provider's business location address is:

51 CHILDREN'S WAY
ENTERPRISE, FL
ZIP 32725
Phone: (386) 668-4774
Fax: (386) 668-4486

The provider's authorized official is Kaylee Vance .
The authorized official title is Director Of Utilization Management and has the following contact phone number (386) 668-4774.

The enumeration date for this NPI number is 3/9/2006 and was last updated on 4/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	X11030599	FLORIDA	Yes
2	253J00000X	Foster Care Agency	X11030500	FLORIDA	No
3	251S00000X	Community/Behavioral Health			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	X11030500	OTHER	FLORIDA	DEPT OF CHILDREN FAMILIES
2	070513600	MEDICAID	FLORIDA
3	X11030599	OTHER	FLORIDA	DEPT OF CHILDREN FAMILIES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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