Active NPI
Little Champs Ppec Inc
- Medically Fragile Infants and Children Day Care
- Fort Myers, FL
National Provider Identifier
1255186953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medically Fragile Infants and Children Day Care
- Legal business name
- LITTLE CHAMPS PPEC INC
- Practice address
- 12820 Kenwood LN Ste 5
Fort Myers, FL 33907-5617 - Phone
- (305) 498-7491
- NPI assigned
- Apr 17, 2024
- 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
- Henry E Mullales
- Title
- Owner
- Phone
- (305) 498-7491
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medically Fragile Infants and Children Day Care | 261QM3000X | Primary |
Addresses
Primary practice location
12820 Kenwood LN Ste 5
Fort Myers, FL 33907-5617
Mailing address
12820 Kenwood LN Ste 5
Fort Myers, FL 33907-5617
Phone (305) 498-7491
National Provider Directory
National Provider DirectoryLocations
12820 Kenwood Ln
Ste 5
Fort Myers, FL 33907
Phone (239) 690-6768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713312000000",
"number": "1255186953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12820 KENWOOD LN STE 5",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339075617",
"telephone_number": "305-498-7491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12820 KENWOOD LN STE 5",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339075617",
"telephone_number": "305-498-7491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE CHAMPS PPEC INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-17",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A",
"authorized_official_last_name": "MULLALES",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-498-7491"
},
"taxonomies": [
{
"code": "261QM3000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.