Vip Kidz LLC

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

License

60081008 Issued in FL

Legal business name

VIP KIDZ LLC

Practice address

2500 Metrocentre Blvd
Suite 1
West Palm Beach, FL 33407-3107

Phone

(561) 223-2673

Fax

(561) 634-3903

NPI assigned

Sep 10, 2014

Last updated

Sep 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Maria A Mantilla

Title

Administrator

Phone

(786) 486-9513

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1518368471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROCENTRE BLVD",
            "address_2": "SUITE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073107",
            "telephone_number": "561-223-2673",
            "fax_number": "561-634-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 METROCENTRE BLVD",
            "address_2": "SUITE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073107",
            "telephone_number": "561-223-2673",
            "fax_number": "561-634-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP KIDZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "MANTILLA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-486-9513",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "FL",
            "license": "60081008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY FOR HEALTH CARE ADMINISTRATION",
            "identifier": "60081008",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medically Fragile Infants and Children Day Care in West Palm Beach, FL
• Providers in West Palm Beach, 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 10, 2014; 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.