OrganizationActive
The Kidz Club- St Pete, LLC
NPI 1932495702 · Pediatric Skilled Nursing Facility · St Petersburg, FL
Provider details
- NPI number
- 1932495702
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Ky Ppec, Inc
- Organization subpart
- Yes
- Authorized official
- Richard White, Coo(502) 210-5538
- License
- 002082100 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
850 3rd Ave S
St Petersburg, FL 33701-4010
Phone: (727) 821-5439
Fax: (727) 821-9459
Approximate (ZIP-level) locationGet directions
Mailing address
1101 Herr Ln
Louisville, KY 40222-4301
Other names (DBA / former)
- Doing business as
- The Kidz Club- St. Pete
Registry dates
- Enumerated
- 2011-06-21
- Last updated
- 2015-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.