The Extraordinary Kids Foundation, Inc

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

Legal business name

THE EXTRAORDINARY KIDS FOUNDATION, INC

Doing business as

Qlh Kids

Practice address

1928 Lake Worth Rd
Lake Worth, FL 33461-4228

Phone

(561) 660-6741

NPI assigned

Feb 21, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Madean Gilzene

Title

Director

Phone

(561) 660-6741

Specialties & licenses 1

Addresses

Other names 1

• Qlh Kids Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1043759244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6690 RAINWOOD COVE LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637448",
            "telephone_number": "561-379-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614228",
            "telephone_number": "561-660-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EXTRAORDINARY KIDS FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "GILZENE",
        "authorized_official_first_name": "MADEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-660-6741"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Qlh Kids",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Qlh Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medically Fragile Infants and Children Day Care in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Medically Fragile Infants and Children Day Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.