A Special Place for Kids, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

A SPECIAL PLACE FOR KIDS, LLC

Practice address

1108 Main Street Gardendale
Gardendale, AL 35071

Phone

(205) 285-5078

Fax

(205) 533-9927

NPI assigned

Mar 11, 2021

Last updated

Mar 11, 2021By 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

Dawn Janel Johnson

Title

Owner

Phone

(205) 616-4078

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1942885850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2010",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350711880",
            "telephone_number": "205-285-5078",
            "fax_number": "205-533-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 MAIN STREET GARDENDALE",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "35071",
            "telephone_number": "205-285-5078",
            "fax_number": "205-533-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SPECIAL PLACE FOR KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "JANEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-616-4078"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.