Active NPI
DHH Connect
- Early Intervention Provider Agency
- North Port, FL
National Provider Identifier
1083499495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- DHH CONNECT
- Practice address
- 1232 Marilyn LN
North Port, FL 34286-7689 - Phone
- (305) 501-0630
- NPI assigned
- Aug 25, 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
- Kailie Dubois, MSDE
- Title
- Co-Owner
- Phone
- (248) 564-8453
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
1232 Marilyn LN
North Port, FL 34286-7689
Mailing address
1232 Marilyn LN
North Port, FL 34286-7689
Phone (305) 501-0630
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.
-
- Developmental Therapist
- North Port, FL
- NPI 1285014654
Early Intervention Provider Agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692921600000",
"number": "1083499495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1232 MARILYN LN",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342867689",
"telephone_number": "305-501-0630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1232 MARILYN LN",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342867689",
"telephone_number": "305-501-0630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DHH CONNECT",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-25",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A",
"authorized_official_last_name": "DUBOIS",
"authorized_official_first_name": "KAILIE",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "248-564-8453",
"authorized_official_credential": "MSDE"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Port, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.