MEDICARE: CHILDREN'S HOME SOCIETY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083794630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN'S HOME SOCIETY

Provider Business Mailing Address
First Line	:	5768 S SEMORAN BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-4818
Country	:	US
Telephone Number	:	321-397-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	5768 S SEMORAN BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-4818
Country	:	US
Telephone Number	:	321-397-3000
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. ANDRY SWEET
Credential	:
Telephone Number	:	321-397-3000

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	08/08/2025

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Directions to “CHILDREN'S HOME SOCIETY ” Practice Location

Language	Start Address	Practice Location

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