NPIMap

Organization Active NPI

Angels for Kids on Call 24/7 Inc.

  • Case Management Agency
  • Palm Bay, FL
National Provider Identifier
1316518939
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ANGELS FOR KIDS ON CALL 24/7 INC.
Practice address
1071 Port Malabar Blvd NE Ste 106
Palm Bay, FL 32905-5161
Phone
(407) 730-7983
NPI assigned
Jul 6, 2021
Last updated
Jul 6, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ANGELS FOR KIDS ON CALL 24/7 INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Authorized official

Name
John Valencia
Title
Ceo
Phone
(407) 730-7983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1071 Port Malabar Blvd NE Ste 106
Palm Bay, FL 32905-5161

Mailing address

1071 Port Malabar Blvd NE Ste 106
Palm Bay, FL 32905-5161
Phone (407) 730-7983

Other identifiers 1

IdentifierTypeStateIssuer
012380400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Angels for Kids on Call 2477 organizations share this tax ID, including this one
Part of
Angels for Kids on Call 247

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1071 Port Malabar Blvd NE
Ste 106
Palm Bay, FL 32905
Phone (321) 676-3383

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1316518939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 PORT MALABAR BLVD NE STE 106",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055161",
            "telephone_number": "407-730-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 PORT MALABAR BLVD NE STE 106",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055161",
            "telephone_number": "407-730-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS FOR KIDS ON CALL 24/7 INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANGELS FOR KIDS ON CALL 24/7 INC.",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-730-7983"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012380400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.