NPIMap

Organization Active NPI

Kids in Distress

  • Foster Care Agency
  • Ft Laud, FL
National Provider Identifier
1427300789
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
KIDS IN DISTRESS
Practice address
819 NE 26TH St.
Ft. Laud, FL 33305
Phone
(954) 701-8728
Fax
(561) 276-0150
NPI assigned
Oct 11, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kevin Bocheneck, MAMS
Title
Clinical Director
Phone
(954) 390-7654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X FL Primary

Addresses

Primary practice location

819 NE 26TH St.
Ft. Laud, FL 33305

Mailing address

819 NE 26TH St
Wilton Manors, FL 33305-1239

National Provider Directory

National Provider Directory
Tax ID family
Kids in Distress Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1427300789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 NE 26TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 NE 26TH ST.",
            "city": "FT. LAUD",
            "state": "FL",
            "postal_code": "33305",
            "telephone_number": "954-701-8728",
            "fax_number": "561-276-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS IN DISTRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOCHENECK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "954-390-7654",
        "authorized_official_credential": "MAMS"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Laud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.