Organization Active NPI

Kidbuilders LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Simpsonville, SC
National Provider Identifier
1093136830
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
3888 Issued in SC
Legal business name
KIDBUILDERS LLC
Practice address
203 N. Maple St
Suite 8
Simpsonville, SC 29681
Phone
(864) 757-9847
NPI assigned
Dec 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Authorized official

Name
Tabitha Phillips
Title
Owner
Phone
(864) 757-9846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 3888 SC Primary

Addresses

Primary practice location

203 N. Maple St
Suite 8
Simpsonville, SC 29681

Mailing address

203 N. Maple St
Suite 8
Simpsonville, SC 29681

National Provider Directory

National Provider Directory
Tax ID family
Kid Builders LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1093136830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N. MAPLE ST",
            "address_2": "SUITE 8",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N. MAPLE ST",
            "address_2": "SUITE 8",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29681",
            "telephone_number": "864-757-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDBUILDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-757-9846"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "SC",
            "license": "3888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.