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THE KIDZ CLUB- ST. PETE
NPI 1932495702
Skilled Nursing Facility - Nursing Care, Pediatric in St Petersburg, FL

Active since June 21, 2011
850 3RD AVE S, ST PETERSBURG, FL 33701(727) 821-5439(727) 821-9459 Get Directions Write a Review

NPPES record last updated: May 19, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About The Kidz Club- St. Pete NPPES

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

THE KIDZ CLUB- ST. PETE (NPI 1932495702) is a healthcare organization registered as a nursing care, pediatric in St Petersburg, Florida and active in the NPI registry since June 2011. The organization lists Richard C White, Coo, as its authorized official.

NPPES Registry Identity

NPI1932495702
Entity TypeOrganization
Primary Taxonomy3140N1450X
Legal Business NameTHE KIDZ CLUB- ST PETE, LLC
Location Address850 3RD AVE SSt Petersburg, FL 33701-4010
Mailing Address1101 Herr LnLouisville, KY 40222-4301 · (502) 210-5538 · Fax (502) 327-5098
Phone(727) 821-5439
Fax(727) 821-9459
Organization SubpartYesParent: Ky Ppec, Inc
Authorized OfficialRichard C WhiteCoo · (502) 210-5538
Enumeration DateJune 21, 2011
Last NPPES UpdateMay 19, 2015
✔ NPI 1932495702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities
Taxonomy Code3140N1450X
Definition

A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

Also ListedRespiratory Therapist, CertifiedTaxonomy 227800000X · License 002082100 (FL)
850 3RD AVE S, St Petersburg, FL 33701
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Other Names 1

Doing Business AsThe Kidz Club- St. Pete

Other Identifiers 1

Medicaid003967600FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BANYAN PEDIATRIC CARE CENTERS - ST PETERSBURG
Clinic/Center (Medically Fragile Infants and Children Day Care)
850 3RD AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 821-5439
PPEC OF FL SUPPORT, LLC
Clinic/Center (Medically Fragile Infants and Children Day Care)
850 3RD AVE S
ST PETERSBURG, FL 33701
Pinellas County (502) 724-9831
PPEC OF FL ST. PETE, LLC
Clinic/Center (Medically Fragile Infants and Children Day Care)
850 3RD AVE S
ST PETERSBURG, FL 33701
Pinellas County (502) 210-5538
SAMANTHA RUTTAN DPT
Physical Therapist
850 3RD AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 821-5439

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 The Kidz Club- St Pete, LLC's NPI number?

The NPI number for The Kidz Club- St Pete, LLC is 1932495702. It was assigned to this organization in the NPPES registry on June 21, 2011.

Where is The Kidz Club- St Pete, LLC located?

The Kidz Club- St Pete, LLC is located at 850 3rd Ave S, St Petersburg, FL 33701. The listed phone number is (727) 821-5439.

What is The Kidz Club- St Pete, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

When was this NPI record last updated?

The NPPES record for The Kidz Club- St Pete, LLC was last updated on May 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.