Provider Demographics
NPI:1528656105
Name:CHILDREN PLACE ACADEMY CORP
Entity type:Organization
Organization Name:CHILDREN PLACE ACADEMY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOANNIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-355-3863
Mailing Address - Street 1:450 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-6036
Mailing Address - Country:US
Mailing Address - Phone:305-246-4740
Mailing Address - Fax:305-246-4745
Practice Address - Street 1:450 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-6036
Practice Address - Country:US
Practice Address - Phone:305-246-4740
Practice Address - Fax:305-246-4745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-08
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL60081093OtherAHCA