RGV KIDZ PLACE, LLC (NPI# 1114552346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114552346 |
| Entity Type | Organization |
| Organization Name | RGV KIDZ PLACE, LLC |
| Other Organization Name | RGV KIDZ PLACE |
| Practice Address |
2722 Fountain Plaza Blvd Edinburg TX 78539-8030 |
| Practice Telephone | 9562310179 |
| Practice Fax Number | 9562908010 |
| Mailing Telephone | 9562310173 |
| Mailing Fax Number | 9562908010 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | JO ANN CARMONA ALVAREZ (ADMINISTRATOR) |
| Authorized Official Telephone | 9562310173 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM3000X |
Clinic/Center Specialization: Medically Fragile Intants and Children Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| RGV KIDZ PLACE | Doing Business As Name - Organization |
| Street Address |
2722 FOUNTAIN PLAZA BLVD |
| City | EDINBURG |
| State | TX |
| Zip Code | 78539-8030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721782 | Ghizlane Elanbari | Internal Medicine | 502 S. Closner Blvd, Edinburg, TX 78539 | 2020-08-22 |
| 1235751728 | Natalia Cristina Pinto | Student in an Organized Health Care Education/Training Program | 5423 S. Mc Coll Rd, University of Texas Rw Grande Valley - Doctor's Hospita, Edinburg, TX 78539 | 2020-05-07 |
| 1235750092 | Juan Pablo Trejo Pacheco Torres | Student in an Organized Health Care Education/Training Program | 5423 S. Mccoll Rd, Edinburg, TX 78539 | 2020-05-04 |
| 1336775527 | Lifeline Pharmacy 1 LLC | Pharmacy | 2500 W Trenton Road, Suite 12, Edinburg, TX 78539 | 2020-03-19 |
| 1881234045 | Tina Michelle Wisdom | Nurse Practitioner | 5501 Rafael Drive, Edinburg, TX 78539 | 2020-01-15 |
| 1649838178 | Charles Medical Management Services, LLC | Clinical Medical Laboratory | 723 E. University, Edinburg, TX 78539 | 2019-05-30 |
| 1437716289 | Sawyer Lambert | Optometrist | 3804 So. Jackson Road, Suite #4, Edinburg, TX 78539 | 2019-05-28 |
| 1114480837 | Doctors Dermatology and Associates | Dermatology | 2605 W Trenton Rd, Edinburg, TX 78539 | 2019-04-09 |
| 1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
| 1477025997 | Lee Family Dentistry P.a. | Dentist | 3802 South Business 281, Edinburg, TX 78539 | 2018-12-21 |
| Find all providers in zip 78539 | ||||
| Taxonomy Code | 261QM3000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medically Fragile Intants and Children Day Care |
| 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.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410087 | Beautiful Eden LLC | Clinic/Center | 3410 Cabernet Shores Dr, Fulshear, TX 77441-1918 | 2020-09-04 |
| 1760047146 | Only Love Pediatric Day Health Center | Clinic/Center | 5500 N 29th St, Mcallen, TX 78504-5109 | 2019-05-01 |
| 1518440494 | Nacogdoches Pediatric Care | Clinic/Center | 124 Creekbend Blvd, Nacogdoches, TX 75965-1780 | 2018-09-07 |
| 1346758844 | Little Haven Ppecc LLC | Clinic/Center | 328 Lorenaly Dr, Suite 100, Brownsville, TX 78526 | 2018-01-18 |
| 1568971752 | Caring Hands Ppecc of Texas, LLC. | Clinic/Center | 1028 E Idel St, Tyler, TX 75701-2024 | 2017-09-20 |
| 1588194302 | At Lalas Place LLC | Clinic/Center | 4713 Parkhaven Dr, Garland, TX 75043-7577 | 2017-06-14 |
| 1154816908 | Lauves Ppecc LLC | Clinic/Center | 403 Enterprise St, Longview, TX 75604-5463 | 2018-06-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.