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PRESCRIBED PEDIATRIC EXTENDED CARE INC. NPI 1790033256


NPI Information

NPI: 1790033256
Provider Name: PRESCRIBED PEDIATRIC EXTENDED CARE INC.

Doing Business As: PEDIATRIC HEALTH CHOICE

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4144 N ARMENIA AVE STE 350
TAMPA, FL
ZIP 33607
Phone: (813) 872-8521
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PRESCRIBED PEDIATRIC EXTENDED CARE INC. is a community behavioral health in Tampa, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PRESCRIBED PEDIATRIC EXTENDED CARE INC. NPI is 1790033256. The provider is registered as an organization entity type.
The provider Is Doing Business As Pediatric Health Choice.

The provider's business location address is:

4144 N ARMENIA AVE STE 350
TAMPA, FL
ZIP 33607-434
Phone: (813) 872-8521
Fax: (813) 200-3707

The provider's authorized official is Stephanie Rhiannon Wack .
The authorized official title is Behavior Specialist and has the following contact phone number (727) 804-4748.

The enumeration date for this NPI number is 8/15/2012 and was last updated on 8/15/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

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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