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KID QUEST INCORPORATION NPI 1609068477


NPI Information

NPI: 1609068477
Provider Name: KID QUEST INCORPORATION
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
425 PARKDALE ST
NORTH LITTLE ROCK, AR
ZIP 72117
Phone: (501) 985-0757
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KID QUEST INCORPORATION is a day training developmentally disabled services in North Little Rock, AR. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. KID QUEST INCORPORATION NPI is 1609068477. The provider is registered as an organization entity type.

The provider's business location address is:

425 PARKDALE ST
NORTH LITTLE ROCK, AR
ZIP 72117-317
Phone: (501) 985-0757
Fax: (501) 985-0930

The provider's authorized official is Berthena Nunn .
The authorized official title is Director and has the following contact phone number (501) 985-0757.

The enumeration date for this NPI number is 8/15/2007 and was last updated on 8/15/2007.


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
1251B00000XCase Management145713778ARKANSASNo
2251C00000XDay Training, Developmentally Disabled Services145713778ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1145713778MEDICAIDARKANSAS

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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