MEDICARE: GIFTED KIDS NONPROFIT- ORGANIZATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1598606949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIFTED KIDS NONPROFIT- ORGANIZATION

Provider Business Mailing Address
First Line	:	2962 DRESDEN ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-4263
Country	:	US
Telephone Number	:	614-937-3817
Fax Number	:	614-937-3817

Provider Business Practice Location Address
First Line	:	2962 DRESDEN ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-4263
Country	:	US
Telephone Number	:	614-937-3817
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	JAVONNA PRICE
Credential	:
Telephone Number	:	614-937-3817

Provider Enumeration Date	:	04/01/2026
Last Update Date	:	04/22/2026

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