ENLIGHTENING GROWTH DDS LLC NPI 1891476602

NPI Information

  • NPI: 1891476602
  • Provider Name: ENLIGHTENING GROWTH DDS LLC
  • Classification: Respite Care - 385HR2060X
  • Specialization: Respite Care, Intellectual and/or Developmental Disabilities
  • Entity Type: Organization
  • Address: 4609 SHERIDAN RD
    PAPILLION, NE
    ZIP 68133
  • Phone: (402) 208-1937

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NPI Details

ENLIGHTENING GROWTH DDS LLC is a respite care and mental retardation and/or developmental disabilities respite care in Papillion, NE. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. ENLIGHTENING GROWTH DDS LLC NPI is 1891476602. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4609 SHERIDAN RD
PAPILLION, NE
ZIP 68133-839
Phone: (402) 208-1937

The provider's authorized official is Auriol Muriel Midas Pedro .
The authorized official title is Slp and has the following contact phone number (402) 208-1937.

The enumeration date for this NPI number is 7/26/2023 and was last updated on 7/26/2023.

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
1171W00000XContractorNo
2385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesYes

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: 3/30/2025

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