KIDDOS THERAPY KONNECTION LLC


Address: 814 W Mcneese St # 241, Lake Charles, LA 70605-5426
Phone: 3375029533

KIDDOS THERAPY KONNECTION LLC (NPI# 1871141986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871141986
Entity Type Organization
Organization Name KIDDOS THERAPY KONNECTION LLC
Practice Address 814 W Mcneese St # 241
Lake Charles
LA 70605-5426
Practice Telephone 3375029533
Enumeration Date 2019-09-01
Last Update Date 2019-09-01
Authorized Official Name CHARLIE COCHRAN JR. (OWNER)
Authorized Official Telephone 3375029533
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
N 251B00000X Case Management Agencies
N 251S00000X Community/Behavioral Health Agencies
N 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 320700000X Residential Treatment Facility, Physical Disabilities Residential Treatment Facilities

Office Location

Street Address 814 W MCNEESE ST # 241
City LAKE CHARLES
State LA
Zip Code 70605-5426

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780283606 Kristin R Morris Clinical Nurse Specialist 1900 W. Gaythier Rd, Lake Charles, LA 70605 2020-10-21
1548871577 Jacob M Theriot Nurse Practitioner 2640 County Club Rd., Lake Charles, LA 70605 2020-08-13
1053898403 Heather Spallino Duplechain Nurse Practitioner 6713 Nelson Rd., Lake Charles, LA 70605 2018-07-27
1578057956 Noor Deeb Weckerly Nurse Practitioner 6713 Nelson Rd, Lake Charles, LA 70605 2018-06-19
1861993354 Therapy Works of Swla LLC Physical Therapist 4750 Lake Street, Lake Charles, LA 70605 2018-02-21
1669998852 Amd Healthcare Lc, LLC General Acute Care Hospital 3730 Nelson Road, Lake Charles, LA 70605 2017-08-18
1619422474 Kaitlyn Pinkerton Specialist/Technologist 800 E Mcneese St, Lake Charles, LA 70605 2016-08-22
1104274679 Kelly Rogers Counselor 90 N. Luke 102l, Lafayette, LA 70605 2016-05-25
1548616220 Lisa Monticello Snider Neurological Surgery 3297 Portrush Drive, Lake Charles, LA 70605 2016-05-11
1114387404 Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De Dentist 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 2016-02-29
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Taxonomy Information

Taxonomy Code 320700000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Physical Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578948055 Jackson Home Health Residential Treatment Facility, Physical Disabilities 111 Pecan Lake Estate Rd, Monroe, LA 71203-9383 2015-07-24
1154615086 Brenda Joan Brannon Residential Treatment Facility, Physical Disabilities 116 Dogwood Dr, Winnfield, LA 71483-5000 2011-06-08
1447497425 Heavenly Medical Supply Residential Treatment Facility, Physical Disabilities 6349 Estates Dr, Bastrop, LA 71220-9749 2009-01-13
1225289382 Loving Hands Assisted Living Residential Treatment Facility, Physical Disabilities 203 Nottingham Ln, Slidell, LA 70461-3311 2008-10-08
1063600369 Frances Special Services, Inc Residential Treatment Facility, Physical Disabilities 418 E Magnolia St, Amite, LA 70422-3106 2007-10-11
1255535530 Hannie Rehab L.l.c Residential Treatment Facility, Physical Disabilities 203 Rue Fountaine, Lafayette, LA 70508-5775 2007-06-12
1740713700 Helping The Sick N Shut In of Noth La Residential Treatment Facility, Physical Disabilities 5342 Broadway Ave, Shreveport, LA 71109-7210 2017-04-06
1326235565 Shekinah Glory Residential Treatment Facility, Physical Disabilities 3613 Government St, Baton Rouge, LA 70806-5721 2007-10-02
1013107689 Partners for Health Community Services, Inc Residential Treatment Facility, Physical Disabilities 6547 N Foster Dr, Baton Rouge, LA 70811-6115 2007-07-30

Competitor

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City LAKE CHARLES
Zip Code 70605

Improve Information

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Dataset Information

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.

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