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SUNSHINE PEDIATRIC DAY CENTER DESOTO LLC NPI 1194589051


NPI Information

NPI: 1194589051
Provider Name: SUNSHINE PEDIATRIC DAY CENTER, DESOTO, LLC
Classification: Clinic/Center - 261QM3000X
Entity Type: Organization

Specialization: Medically Fragile Infants and Children Day Care

Address:
5802 MEDINA BASE ROAD
SAN ANTONIO, TX
ZIP 78242
Phone: (972) 453-1710
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SUNSHINE PEDIATRIC DAY CENTER, DESOTO, LLC is a medically fragile infants and children day care clinic center in San Antonio, TX. 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.). SUNSHINE PEDIATRIC DAY CENTER, DESOTO, LLC NPI is 1194589051. The provider is registered as an organization entity type.

The provider's business location address is:

5802 MEDINA BASE ROAD
SAN ANTONIO, TX
ZIP 78242
Phone: (972) 453-1710

The provider's authorized official is David Maymon .
The authorized official title is Owner and has the following contact phone number (954) 881-8230.

The enumeration date for this NPI number is 2/12/2024 and was last updated on 2/12/2024.


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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