Gencare Kids Ppec and Learning Center Haines City LLC

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

Legal business name

GENCARE KIDS PPEC AND LEARNING CENTER HAINES CITY LLC

Practice address

110 Patterson Rd
Haines City, FL 33844-7805

Phone

(888) 425-7732

Fax

(407) 440-2877

NPI assigned

Sep 6, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Olive Gaye, MBA

Title

President

Phone

(888) 425-7732

Specialties & licenses 2

Addresses

Other names 1

• GenCare Kids Haines City, LLC Former legal business name

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1164208948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PATTERSON RD",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338447805",
            "telephone_number": "888-425-7732",
            "fax_number": "407-440-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PATTERSON RD",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338447805",
            "telephone_number": "888-425-7732",
            "fax_number": "407-440-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENCARE KIDS PPEC AND LEARNING CENTER HAINES CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "GAYE",
        "authorized_official_first_name": "OLIVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-425-7732",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "GenCare Kids Haines City, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "GenCare Kids Haines City, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Medically Fragile Infants and Children Day Care in Haines City, FL
• Providers in Haines City, 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 Dec 26, 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.

Verify at the official NPI Registry.