Healthcare Provider Details

I. General information

NPI: 1083794630
Provider Name (Legal Business Name): CHILDREN'S HOME SOCIETY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5768 S SEMORAN BLVD
ORLANDO FL
32822-4818
US

IV. Provider business mailing address

5768 S SEMORAN BLVD
ORLANDO FL
32822-4818
US

V. Phone/Fax

Practice location:
  • Phone: 321-397-3000
  • Fax:
Mailing address:
  • Phone: 321-397-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. ANDRY SWEET
Title or Position: CEO
Credential:
Phone: 321-397-3000