Provider Demographics
NPI:1649896945
Name:ADORABLE KIDS LLC.
Entity type:Organization
Organization Name:ADORABLE KIDS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-417-8660
Mailing Address - Street 1:2930 WESTCHESTER AVE RM 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-4542
Mailing Address - Country:US
Mailing Address - Phone:917-417-8660
Mailing Address - Fax:
Practice Address - Street 1:2930 WESTCHESTER AVE RM 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-4542
Practice Address - Country:US
Practice Address - Phone:917-417-8660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency