Provider Demographics
| NPI: | 1295897866 |
|---|---|
| Name: | CHALLENGING IDEAS INC |
| Entity type: | Organization |
| Organization Name: | CHALLENGING IDEAS INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | MS |
| Authorized Official - First Name: | VIRGINIA |
| Authorized Official - Middle Name: | JESSICA |
| Authorized Official - Last Name: | RIGGS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 813-312-1921 |
| Mailing Address - Street 1: | 33433 PLEASANT LN |
| Mailing Address - Street 2: | |
| Mailing Address - City: | DADE CITY |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33523-9066 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 813-312-1921 |
| Mailing Address - Fax: | 352-583-4568 |
| Practice Address - Street 1: | 33433 PLEASANT LN |
| Practice Address - Street 2: | |
| Practice Address - City: | DADE CITY |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33523-9066 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 813-312-1921 |
| Practice Address - Fax: | 352-583-4568 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-12-13 |
| Last Update Date: | 2013-01-17 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 174400000X | Other Service Providers | Specialist | Group - Single Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| FL | 675992196 | Medicaid |