The Kidz Club-PDN, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

THE KIDZ CLUB-PDN, LLC

Practice address

1537 Highway 185
Suite 3
Bowling Green, KY 42101

Phone

(502) 210-5538

Fax

(502) 327-5098

NPI assigned

Sep 11, 2019

Organization subpart

No

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

Authorized official

Name

Jody Rogers

Title

President

Phone

(502) 210-5538

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1275182255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HERR LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224301",
            "telephone_number": "502-210-5538",
            "fax_number": "502-327-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 HIGHWAY 185",
            "address_2": "SUITE 3",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42101",
            "telephone_number": "502-210-5538",
            "fax_number": "502-327-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KIDZ CLUB-PDN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-210-5538"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "720506",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Nursing Care Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.