JUST KIDS NPI 1548609803

NPI Information

  • NPI: 1548609803
  • Provider Name: JUST KIDS
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 2111 AVALON PINES DR
    CORAM, NY
    ZIP 11727
  • Phone: (631) 708-8403

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NPI Details

JUST KIDS is an intermediate care facility mentally retarded in Coram, NY. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. JUST KIDS NPI is 1548609803. The provider is registered as an organization entity type.

The provider's business location address is:

2111 AVALON PINES DR
CORAM, NY
ZIP 11727-146
Phone: (631) 708-8403

The provider's authorized official is Penney R Obrien .
The authorized official title is Registered Nurse and has the following contact phone number (631) 708-8403.

The enumeration date for this NPI number is 6/20/2013 and was last updated on 6/20/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual Disabilities475564NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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