KIDS IN BALANCE, INC. NPI 1003007659

Voluntary or Charitable in Riverview, FL

NPI 1003007659 Organization Voluntary or Charitable

About KIDS IN BALANCE, INC.

Kids In Balance, Inc. is a provider established in Riverview, Florida specializing in voluntary or charitable. The NPI number of Kids In Balance, Inc. is 1003007659 and was assigned on August 2007. The practitioner's primary taxonomy code is 251V00000X with license number CH21861 (FL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Ms. Jennifer A Leigh M.s. Ccc-slp (Dir./speech Language Pathologist)

NPI

1003007659

Provider NameKIDS IN BALANCE, INC.
Provider Location Address10022 WATER WORKS LN RIVERVIEW, FL 33578
Provider Mailing Address4507 COMPASS OAKS DR VALRICO, FL 33596
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-08-2007
Last Update Date08-08-2007


Primary Taxonomy

Taxonomy Code251V00000X
ClassificationVoluntary or Charitable
TypeAgencies
License No.CH21861
License StateFL

Business Address

KIDS IN BALANCE, INC.
10022 WATER WORKS LN
RIVERVIEW, FL
ZIP 33578
Phone: (813) 677-8450
Fax: (813) 677-5029

Get Directions


Mailing Address

KIDS IN BALANCE, INC.
4507 COMPASS OAKS DR
VALRICO, FL
ZIP 33596
Phone: (813) 677-8450
Fax: (813) 677-5029



Authorized Official

Authorized Official NameMS. JENNIFER A LEIGH M.S. CCC-SLP
Authorized Official TitleDIR./SPEECH LANGUAGE PATHOLOGIST
Authorized Official Phone(813) 677-8450

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
OT 3546OTHER (01)FL
PT 23360OTHER (01)FL
SA 5793OTHER (01)FL

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851584692MS. SHERRY D. BURRIS
Individual
Speech-Language Pathologist10022 WATER WORKS LN
RIVERVIEW, FL 33578
(813) 663-9828

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.