Provider Demographics
NPI:1659612653
Name:CHILDREN HAVING OPPORTUNITIES IN A CARING ENVIRONMENT INC.
Entity Type:Organization
Organization Name:CHILDREN HAVING OPPORTUNITIES IN A CARING ENVIRONMENT INC.
Other - Org Name:C.H.O.I.C.E. INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:P
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-369-3341
Mailing Address - Street 1:PO BOX 1277
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33509-1277
Mailing Address - Country:US
Mailing Address - Phone:813-369-3341
Mailing Address - Fax:813-333-7454
Practice Address - Street 1:3512 HILLGROVE RD
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33596-8427
Practice Address - Country:US
Practice Address - Phone:813-369-3341
Practice Address - Fax:813-333-7454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-15
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL100020064253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherFEDERAL EMPLOYER IDENTIFIER NUMBER