Active NPI
Kids' Kastle LLC
- Medically Fragile Infants and Children Day Care
- Jackson, MS
National Provider Identifier
1073390399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medically Fragile Infants and Children Day Care
- Legal business name
- KIDS' KASTLE LLC
- Practice address
- 2359 Oakhurst Dr
Jackson, MS 39204-4931 - Phone
- (601) 622-4677
- Fax
- (601) 510-9806
- NPI assigned
- Sep 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Verlencia R Myers, RN
- Title
- Owner
- Phone
- (601) 622-4677
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medically Fragile Infants and Children Day Care | 261QM3000X | Primary |
Addresses
Primary practice location
2359 Oakhurst Dr
Jackson, MS 39204-4931
Mailing address
586 Lakeland East Dr Ste a
Flowood, MS 39232-9028
Phone (601) 707-7121
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2129722 | Kids' Kastle LLC | Certificate of waiver | Apr 24, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Flowood, MS
- NPI 1316290935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694390400000",
"number": "1073390399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "586 LAKELAND EAST DR STE A",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329028",
"telephone_number": "601-707-7121",
"fax_number": "601-510-9806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2359 OAKHURST DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392044931",
"telephone_number": "601-622-4677",
"fax_number": "601-510-9806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS' KASTLE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "VERLENCIA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-622-4677",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"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": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.