Organization Active NPI

Childrens Rehab Lehigh LLC

  • Medically Fragile Infants and Children Day Care
  • Lehigh Acres, FL
National Provider Identifier
1356121347
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X
Legal business name
CHILDRENS REHAB LEHIGH LLC
Practice address
3020 Lee Blvd Ste 11
Lehigh Acres, FL 33971-2438
Phone
(239) 674-7439
NPI assigned
Oct 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Miss Yoleidis Gonzalez
Title
Administrator
Phone
(786) 499-5497

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Medically Fragile Infants and Children Day Care 261QM3000X Primary

Addresses

Primary practice location

3020 Lee Blvd Ste 11
Lehigh Acres, FL 33971-2438

Mailing address

4143 SW 74TH CT Ste B
Miami, FL 33155-4467
Phone (786) 499-5497

National Provider Directory

National Provider Directory
Tax ID family
Childrens Rehab Lehigh LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3020 Lee Blvd
Ste 11
Lehigh Acres, FL 33971
Phone (239) 369-9109

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1356121347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 SW 74TH CT STE B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554467",
            "telephone_number": "786-499-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 LEE BLVD STE 11",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339712438",
            "telephone_number": "239-674-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS REHAB LEHIGH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "YOLEIDIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-499-5497",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.

Verify at the official NPI Registry.