PEDIATRIC PLACE LLC NPI 1750074415

NPI Information

  • NPI: 1750074415
  • Provider Name: PEDIATRIC PLACE, LLC
  • Classification: Clinic/Center - 261QM3000X
  • Specialization: Medically Fragile Infants and Children Day Care
  • Entity Type: Organization
  • Address: 116 MARKETRIDGE DR
    RIDGELAND, MS
    ZIP 39157
  • Phone: (601) 613-4254

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NPI Details

PEDIATRIC PLACE, LLC 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.). PEDIATRIC PLACE, LLC NPI is 1750074415. The provider is registered as an organization entity type.

The provider's business location address is:

116 MARKETRIDGE DR
RIDGELAND, MS
ZIP 39157-009
Phone: (601) 613-4254

The provider's authorized official is Carmen M Young .
The authorized official title is Executive Director and has the following contact phone number (601) 613-4254.

The enumeration date for this NPI number is 5/30/2023 and was last updated on 5/30/2023.

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: 11/21/2025

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