Organization Active NPI

Lucas Kids Corp

  • Case Management Agency
  • Altamonte Springs, FL
National Provider Identifier
1154718229
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LUCAS KIDS CORP
Practice address
252 Ridgewood St
Altamonte Springs, FL 32701-7613
Phone
(407) 307-6711
NPI assigned
Apr 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Elim MarreroNPI 1962824581
Title
Ceo
Phone
(407) 307-6711

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)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

252 Ridgewood St
Altamonte Springs, FL 32701-7613

Mailing address

252 Ridgewood St
Altamonte Springs, FL 32701-7613

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1154718229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 RIDGEWOOD ST",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 RIDGEWOOD ST",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017613",
            "telephone_number": "407-307-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS KIDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "ELIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-307-6711"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.