Provider Demographics
NPI:1982219838
Name:HOME FOR KIDS INC
Entity Type:Organization
Organization Name:HOME FOR KIDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ENSOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-667-4958
Mailing Address - Street 1:613 5TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-2127
Mailing Address - Country:US
Mailing Address - Phone:727-667-4958
Mailing Address - Fax:
Practice Address - Street 1:613 5TH AVE SE
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-2127
Practice Address - Country:US
Practice Address - Phone:727-667-4958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-08
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253J00000XAgenciesFoster Care Agency