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JUST KIDS
NPI 1548609803
Intermediate Care Facility, Intellectual Disabilities in Coram, NY

Active since June 20, 2013
2111 AVALON PINES DR, CORAM, NY 11727(631) 708-8403 Get Directions Write a Review

NPPES record last updated: June 20, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Just Kids NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUST KIDS (NPI 1548609803) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Coram, New York and active in the NPI registry since June 2013. The organization lists Penney R Obrien, Registered Nurse, as its authorized official.

NPPES Registry Identity

NPI1548609803
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameJUST KIDS
Location Address2111 AVALON PINES DRCoram, NY 11727-5146
Mailing Address2111 Avalon Pines DrCoram, NY 11727-5146 · (631) 708-8403
Phone(631) 708-8403
Organization SubpartNo
Authorized OfficialPenney R ObrienRegistered Nurse · (631) 708-8403
Enumeration DateJune 20, 2013
✔ NPI 1548609803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in NY · 475564
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
2111 AVALON PINES DR, Coram, NY 11727
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Just Kids's NPI number?

The NPI number for Just Kids is 1548609803. It was assigned to this organization in the NPPES registry on June 20, 2013.

Where is Just Kids located?

Just Kids is located at 2111 Avalon Pines Dr, Coram, NY 11727. The listed phone number is (631) 708-8403.

What is Just Kids's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Just Kids was last updated on June 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.