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KIDS' KASTLE LLC NPI 1073390399


NPI Information

NPI: 1073390399
Provider Name: KIDS' KASTLE LLC
Classification: Clinic/Center - 261QM3000X
Entity Type: Organization

Specialization: Medically Fragile Infants and Children Day Care

CLIA Number: 25D2129722

Address:
2359 OAKHURST DR
JACKSON, MS
ZIP 39204
Phone: (601) 622-4677
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KIDS' KASTLE LLC is a medically fragile infants and children day care clinic center in Jackson, 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.). KIDS' KASTLE LLC NPI is 1073390399. The provider is registered as an organization entity type.

The provider's business location address is:

2359 OAKHURST DR
JACKSON, MS
ZIP 39204-931
Phone: (601) 622-4677
Fax: (601) 510-9806

The provider's authorized official is Verlencia R Myers .
The authorized official title is Owner and has the following contact phone number (601) 622-4677.

The CLIA number assigned to this NPI record is 25D2129722 - other - prescr ped ext care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2023 and was last updated on 9/11/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 5/5/2024

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