Organization Active NPI

Logistique, LLC

  • Developmentally Disabled Services Day Training Agency
  • Clearwater, FL
National Provider Identifier
1639956683
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
LOGISTIQUE, LLC
Practice address
10300 49TH St N
Clearwater, FL 33762-5000
Phone
(941) 224-2258
Fax
(813) 315-9376
NPI assigned
Sep 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Kimberly A HoustonNPI 1669114732
Title
Owner/Chief Executive Officer
Phone
(941) 224-2258

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 Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X

Addresses

Primary practice location

10300 49TH St N
Clearwater, FL 33762-5000

Mailing address

10300 49TH St N
Clearwater, FL 33762-5000
Phone (941) 224-2258

National Provider Directory

National Provider Directory

Locations

10300 49th St N
Clearwater, FL 33762
Phone (813) 336-1681

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": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1639956683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 49TH ST N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337625000",
            "telephone_number": "941-224-2258",
            "fax_number": "813-315-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 49TH ST N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337625000",
            "telephone_number": "941-224-2258",
            "fax_number": "813-315-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGISTIQUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "941-224-2258"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.