The Blue Door Pediatric Development Center Llc
LBN: The Blue Door Pediatric Development Center Llc
The Blue Door Pediatric Development Center Llc is an health care organization with primary practice located at 3030 Starkey Blvd Ste 272 , New Port Richey FL 34655-2175. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is the primary health care specialty.
The Blue Door Pediatric Development Center Llc can be contacted via phone (330) 445-9006, or through Bender, Rachel via phone (339) 445-9006.
Contact Information
Primary practice address
3030 Starkey Blvd Ste 272
New Port Richey FL 34655-2175
Phone: (330) 445-9006
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1992569040 |
|---|---|
| LBN Legal business name | The Blue Door Pediatric Development Center Llc |
| DBA Doing business as | |
| Authorized official | Bender, Rachel MA, CCC-SLP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 2024 |
| Last updated | Feb 8th, 2024 - about 7 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992569040 | NPPES |
| Florida | MEDICAID | 1124806740 |
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