A Kid'S Place of Tampa Bay Inc.

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

A KID'S PLACE OF TAMPA BAY INC.

Practice address

1715 Lithia Pinecrest Rd
Brandon, FL 33511-6723

Phone

(813) 381-3839

Fax

(813) 381-3840

NPI assigned

Mar 5, 2020

Organization subpart

No

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

Authorized official

Name

Michael Bradford Gregory

Title

Ceo

Phone

(813) 381-3839

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1568097038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 LITHIA PINECREST RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116723",
            "telephone_number": "813-381-3839",
            "fax_number": "813-381-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 LITHIA PINECREST RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116723",
            "telephone_number": "813-381-3839",
            "fax_number": "813-381-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A KID'S PLACE OF TAMPA BAY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-381-3839"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.