Organization Active NPI

Kline Developmental Services Inc

  • Developmentally Disabled Services Day Training Agency
  • Pensacola, FL
National Provider Identifier
1497855100
Registry record updated Apr 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
688059296 Issued in FL
Legal business name
KLINE DEVELOPMENTAL SERVICES INC
Practice address
2986 Meredith Dr
Pensacola, FL 32504-4752
Phone
(850) 572-5108
Fax
(850) 474-3940
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2008

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

Authorized official

Name
Mrs. Debra KlineNPI 1194799015
Title
Owner/Director
Phone
(850) 572-5108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 688059296 FL Primary
Developmentally Disabled Services Day Training Agency 251C00000X 688059298 FL

Addresses

Primary practice location

2986 Meredith Dr
Pensacola, FL 32504-4752

Mailing address

2986 Meredith Dr
Pensacola, FL 32504-4752
Phone (850) 572-5108

Other identifiers 2

IdentifierTypeStateIssuer
688059298MedicaidFL
688059296MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209254400000",
    "number": "1497855100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2986 MEREDITH DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325044752",
            "telephone_number": "850-572-5108",
            "fax_number": "850-474-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2986 MEREDITH DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325044752",
            "telephone_number": "850-572-5108",
            "fax_number": "850-474-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLINE DEVELOPMENTAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-04-27",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "850-572-5108",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "688059296",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "688059298",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688059298",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688059296",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2008; 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.