NPIMap

Organization Active NPI

Angels for Kids on Call 24/7 Inc.

  • Behavior Analyst
  • Haines City, FL
National Provider Identifier
1467021766
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ANGELS FOR KIDS ON CALL 24/7 INC.
Practice address
19 N 6TH St Ste 19a
Haines City, FL 33844-4205
Phone
(407) 730-7983
NPI assigned
Jun 21, 2021
Last updated
Jun 21, 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 Jun 21, 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
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

19 N 6TH St Ste 19a
Haines City, FL 33844-4205

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
018553000MedicaidFL

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.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1467021766",
    "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": "19 N 6TH ST STE 19A",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444205",
            "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": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "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": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018553000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

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