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).
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 |
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 |
Street Address |
814 W MCNEESE ST # 241 |
City | LAKE CHARLES |
State | LA |
Zip Code | 70605-5426 |
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 |
Find all providers in zip 70605 |
Taxonomy Code | 320700000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Physical Disabilities |
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] |
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 |
City | LAKE CHARLES |
Zip Code | 70605 |
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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.