Organization Active NPI

Just for Kids, Inc.

  • Home Health Agency
  • West Palm Beach, FL
National Provider Identifier
1598725400
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299991136 Issued in FL
Legal business name
JUST FOR KIDS, INC.
Practice address
1233 45TH St
Suite a-5
West Palm Beach, FL 33407-2160
Phone
(561) 863-7055
Fax
(561) 863-6577
NPI assigned
Mar 24, 2006
Last updated
Sep 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Mr. Stuart R Russell
Title
Vice President
Phone
(561) 863-7055

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299991136 FL Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 090634 FL

Addresses

Primary practice location

1233 45TH St
Suite a-5
West Palm Beach, FL 33407-2160

Mailing address

1233 45TH St
Suite a-5
West Palm Beach, FL 33407-2160
Phone (561) 863-7055

Other identifiers 2

IdentifierTypeStateIssuer
650756500MedicaidFL
678775465MedicaidFL

National Provider Directory

National Provider Directory

Locations

1233 45th St
Ste A5
Mangonia Park, FL 33407
Phone (561) 863-7055

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1598725400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 45TH ST",
            "address_2": "SUITE A-5",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072160",
            "telephone_number": "561-863-7055",
            "fax_number": "561-863-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 45TH ST",
            "address_2": "SUITE A-5",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072160",
            "telephone_number": "561-863-7055",
            "fax_number": "561-863-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST FOR KIDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "561-863-7055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991136",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "090634",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650756500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678775465",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.