Organization Active NPI

The Kid'S Workshop

  • Developmentally Disabled Services Day Training Agency
  • Charlotte, NC
National Provider Identifier
1194129916
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
THE KID'S WORKSHOP
Practice address
5901 Beatties Ford Rd
Charlotte, NC 28216-2203
Phone
(704) 399-4045
Fax
(704) 399-4089
NPI assigned
Oct 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Paulette Canaday
Title
Director
Phone
(704) 399-4045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NC Primary

Addresses

Primary practice location

5901 Beatties Ford Rd
Charlotte, NC 28216-2203

Mailing address

11921 Bailey Rd
Cornelius, NC 28031-9125
Phone (704) 399-4045

Other names 1

  • Jenkins Home Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1194129916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11921 BAILEY RD",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280319125",
            "telephone_number": "704-399-4045",
            "fax_number": "704-399-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 BEATTIES FORD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162203",
            "telephone_number": "704-399-4045",
            "fax_number": "704-399-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KID'S WORKSHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "CANADAY",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-399-4045"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenkins Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.