Kiddie Kastle Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

KIDDIE KASTLE INC.

Doing business as

Horizon Group Home

Practice address

1212 9TH Ave
Selma, AL 36703-4021

Phone

(334) 875-1045

NPI assigned

Oct 5, 2020

Organization subpart

No

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

Authorized official

Name

Tiffani Gilford

Title

Program Director

Phone

(334) 413-3010

Specialties & licenses 1

Addresses

Other names 1

• Horizon Group Home Doing business as

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1326645144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367020436",
            "telephone_number": "334-875-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 9TH AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367034021",
            "telephone_number": "334-875-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDIE KASTLE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "GILFORD",
        "authorized_official_first_name": "TIFFANI",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "334-413-3010"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie R. Sams, DMD, LLC
• Saima Kanwal, MD
• Theresa Kemp
• Patricia Ann Kendrick-Robinson, M.D.
• Deborah Jenkins Kidd, FNP
• Anetrial G. King, FNP-C
• Clarissa Renea King, MSN APRN FNP-C
• Mary Chelimo Kipchumba, CRNP
• Reema Klinger, MD
• Jewels M Knight, FNP-C, FNP-BC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Selma, AL
• Providers in Selma, AL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.