Kindred Souls Pediatric Care

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

Legal business name

KINDRED SOULS PEDIATRIC CARE

Practice address

10961 SW 186TH St
Cutler Bay, FL 33157-6808

Phone

(305) 542-4509

NPI assigned

Jul 23, 2020

Organization subpart

No

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

Authorized official

Name

Ralph Abreu

Title

Ambr

Phone

(786) 306-7608

Specialties & licenses 1

Addresses

Other names 1

• KINDRED SOULS PEDIATRIC CARE LLC Doing business as

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599436800000",
    "number": "1447869615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10961 SW 186TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576808",
            "telephone_number": "305-542-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10961 SW 186TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576808",
            "telephone_number": "305-542-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED SOULS PEDIATRIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A",
        "authorized_official_last_name": "ABREU",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "786-306-7608"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINDRED SOULS PEDIATRIC CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medically Fragile Infants and Children Day Care in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Medically Fragile Infants and Children Day Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.