KIDWORX ACADEMY (NPI# 1427336015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427336015 |
| Entity Type | Organization |
| Organization Name | KIDWORX ACADEMY |
| Practice Address |
816 N Main St Harrison AR 72601-2915 |
| Practice Telephone | 8706887348 |
| Mailing Telephone | 8706887348 |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2011-07-30 |
| Authorized Official Name | MS. VICKY LYNN THEROUX (CEO) |
| Authorized Official Telephone | 8706887348 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | OTR1902 | AR | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285911768 | Kidworx Academy | Dietitian, Registered | 816 N Main St, Harrison, AR 72601-2915 | 2011-11-10 |
| Street Address |
816 N MAIN ST |
| City | HARRISON |
| State | AR |
| Zip Code | 72601-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255693552 | Christen Dale Demeyer | Day Training/Habilitation Specialist | 816 N Main St, Harrison, AR 72601-2915 | 2012-06-12 |
| 1477811180 | Amy Dawn Villines | Day Training/Habilitation Specialist | 816 N Main St, Harrison, AR 72601-2915 | 2012-05-01 |
| 1326313974 | Diana Michelle Everly | Day Training/Habilitation Specialist | 816 N Main St, Suite A, Harrison, AR 72601-2915 | 2012-03-15 |
| 1992076004 | Erin Nichole Patton | Day Training/Habilitation Specialist | 816 N Main St, Harrison, AR 72601-2915 | 2012-01-20 |
| 1093085805 | Tina Renee Eddings | Day Training/Habilitation Specialist | 816 N Main St, Harrison, AR 72601-2915 | 2012-01-10 |
| 1942570759 | Cinderella Clark | Day Training/Habilitation Specialist | 816 N Main St, Harrison, AR 72601-2915 | 2012-01-10 |
| 1285911768 | Kidworx Academy | Dietitian, Registered | 816 N Main St, Harrison, AR 72601-2915 | 2011-11-10 |
| 1760763932 | Jennifer Lynn Stewart | Licensed Practical Nurse | 816 N Main St, Harrison, AR 72601-2915 | 2011-09-01 |
| 1629390414 | Med Chi Professionals, LLC | Physical Medicine & Rehabilitation | 816 N Main St, Suite B, Harrison, AR 72601-2915 | 2010-02-19 |
| 1336477603 | Ozark Agility Professionals LLC | Physical Therapist | 816 N Main St, Harrison, AR 72601-2915 | 2009-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| Find all providers in zip 72601 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700260122 | Goodwill Industries of Greater Ny & Northern Nj, Inc | Day Training, Developmentally Disabled Services | 400 Supor Blvd, Harrison, NJ 07029-2060 | 2015-07-15 |
| 1740473560 | Texarkana Behavioral Associates, L.c. | Day Training, Developmentally Disabled Services | 117 Saw Grasse Point, Harrison, AR 72601 | 2007-08-24 |
| 1225240047 | Boone County Special Services | Day Training, Developmentally Disabled Services | 707 E Rush Ave, Harrison, AR 72601-4404 | 2007-05-04 |
| 1942316310 | Texarkana Behavioral Associates, L.c. | Day Training, Developmentally Disabled Services | 121 Saw Grasse Point, Harrison, AR 72601 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667082 | Hannah Nicole Montgomery | Day Training, Developmentally Disabled Services | 1525 Merrill Dr, Little Rock, AR 72211-1821 | 2020-04-03 |
| 1801447990 | Abc Children's Academy - Clarksville Site 3 | Day Training, Developmentally Disabled Services | 105 Cherokee Ln, Clarksville, AR 72830-8014 | 2019-09-20 |
| 1679127443 | Abc Children's Academy | Day Training, Developmentally Disabled Services | 308 E 11th St, Russellville, AR 72801-6156 | 2019-07-30 |
| 1780238550 | Abc Children's Academy | Day Training, Developmentally Disabled Services | 110 Library Rd, Dover, AR 72837 | 2019-07-30 |
| 1134685290 | Outcomes Incorporated | Day Training, Developmentally Disabled Services | 4501 S Thompson St, Springdale, AR 72764-7464 | 2019-02-13 |
| 1154772143 | Abc Children's Academy & Developmental Center-clarksville | Day Training, Developmentally Disabled Services | 108 Cherokee Ln, Clarksville, AR 72830-8014 | 2016-06-30 |
| 1851765143 | Kidspot Plus | Day Training, Developmentally Disabled Services | 1823 Grant Ave Ste F, Jonesboro, AR 72401-6148 | 2015-11-24 |
| 1609270057 | Abc Children's Academy & Developmental Center Dover | Day Training, Developmentally Disabled Services | 105 Library Rd, Dover, AR 72837-9005 | 2014-10-14 |
| 1790197473 | Kina Burruss | Day Training, Developmentally Disabled Services | 1501 Dogwood Trl, Malvern, AR 72104-4513 | 2014-05-29 |
| 1609298306 | Cb King Jm | Day Training, Developmentally Disabled Services | 1109 North School, Dermott, AR 71638-0000 | 2014-01-15 |
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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.