Active NPI
Just 4 Kidz Urgent Care LLC
- Urgent Care Clinic/Center
- Homestead, FL
National Provider Identifier
1558762005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- JUST 4 KIDZ URGENT CARE LLC
- Practice address
- 151 NW 11TH St
Suite E202
Homestead, FL 33030-4360 - Phone
- (786) 236-2491
- NPI assigned
- Sep 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gerald Deandre Jones
- Title
- Ceo
- Phone
- (786) 236-2491
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
151 NW 11TH St
Suite E202
Homestead, FL 33030-4360
Mailing address
151 NW 11TH St
Suite E202
Homestead, FL 33030-4360
Phone (786) 236-2491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
151 NW 11th St
Ste E202
Homestead, FL 33030
Phone (305) 245-3220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410739200000",
"number": "1558762005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 NW 11TH ST",
"address_2": "SUITE E202",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304360",
"telephone_number": "786-236-2491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 NW 11TH ST",
"address_2": "SUITE E202",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304360",
"telephone_number": "786-236-2491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUST 4 KIDZ URGENT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-15",
"last_updated": "2014-09-15",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "DEANDRE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "786-236-2491",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.