PRESCRIBED PEDIATRIC EXTENDED CARE INC NPI 1598123572

NPI Information

  • NPI: 1598123572
  • Provider Name: PRESCRIBED PEDIATRIC EXTENDED CARE, INC
  • Classification: Clinic/Center - 261QM3000X
  • Specialization: Medically Fragile Infants and Children Day Care
  • Entity Type: Organization
  • Doing Business As: PEDIATRIC HEALTH CHOICE
  • CLIA Number: 25D2092297
  • Address: 611 PEGRAM DR
    TUPELO, MS
    ZIP 38801
  • Phone: (813) 870-0000

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NPI Details

PRESCRIBED PEDIATRIC EXTENDED CARE, INC is a medically fragile infants and children day care clinic center in Tupelo, 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.). PRESCRIBED PEDIATRIC EXTENDED CARE, INC NPI is 1598123572. The provider is registered as an organization entity type.
The provider Is Doing Business As Pediatric Health Choice.

The provider's business location address is:

611 PEGRAM DR
TUPELO, MS
ZIP 38801-321
Phone: (813) 870-0000

The provider's authorized official is Heidi Tosti .
The authorized official title is Vp Finance and has the following contact phone number (813) 880-0320.

The CLIA number assigned to this NPI record is 25D2092297 - other - ppec with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2016 and was last updated on 4/28/2021.

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: 11/21/2025

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