KIDS IN BALANCE, INC. NPI 1003007659

Voluntary or Charitable in Riverview, FL

About KIDS IN BALANCE, INC.

Kids In Balance, Inc. is a provider in Riverview, FL. The NPI number assigned to this provider is 1003007659. The practitioner's primary taxonomy code is Voluntary or Charitable (251V00000X). The provider is registered as an organization and their NPI record was last updated 10 years ago.

NPI1003007659 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameKIDS IN BALANCE, INC.
Provider Location Address10022 WATER WORKS LN RIVERVIEW, FL 33578 Additional informationCallout TooltipProvider 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 Address4507 COMPASS OAKS DR VALRICO, FL 33596 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
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).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. 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.
Enumeration Date08-08-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

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

Primary Taxonomy

Taxonomy Code251V00000X Additional informationCallout TooltipPrimary 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.
ClassificationVoluntary or Charitable
TypeAgencies
License No.CH21861
License StateFL

Authorized Official

Authorized Official NameMS. JENNIFER A LEIGH M.S. CCC-SLP Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
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

Map Location


KIDS IN BALANCE, INC. address is 10022 WATER WORKS LN RIVERVIEW, FL 33578

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