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CARING HANDS PRESCRIBED PEDIATRIC EXTENDED CARE NPI 1093198731


NPI Information

NPI: 1093198731
Provider Name: CARING HANDS PRESCRIBED PEDIATRIC EXTENDED CARE
Classification: Clinic/Center - 261QM3000X
Entity Type: Organization

Specialization: Medically Fragile Infants and Children Day Care

CLIA Number: 25D2108702

Address:
363 HIGHLAND COLONY PARKWAY
RIDGELAND, MS
ZIP 39157
Phone: (601) 398-0171
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CARING HANDS PRESCRIBED PEDIATRIC EXTENDED CARE is a medically fragile infants and children day care clinic center in Ridgeland, MS. The provider is an entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). CARING HANDS PRESCRIBED PEDIATRIC EXTENDED CARE NPI is 1093198731. The provider is registered as an organization entity type.

The provider's business location address is:

363 HIGHLAND COLONY PARKWAY
RIDGELAND, MS
ZIP 39157
Phone: (601) 398-0171

The provider's authorized official is Barbie L Clark .
The authorized official title is Owner/rn and has the following contact phone number (318) 323-1930.

The CLIA number assigned to this NPI record is 25D2108702 - other - extended care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2015 and was last updated on 7/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM3000XClinic/CenterMedically Fragile Infants and Children Day CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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