Country Kids Inc.

LBN: Country Kids Inc.
Country Kids Inc. is an health care organization with primary practice located at 1142 Orlando Dr , De Pere WI 54115-9484. The organization recently has 10 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Hearing and Speech, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Developmental Disabilities is the primary health care specialty. Country Kids Inc. can be contacted via phone (920) 339-0700, or through Kafka, Lisa via phone (920) 339-0700.

Contact Information

Primary practice address
1142 Orlando Dr De Pere WI 54115-9484
Phone: (920) 339-0700
Fax: (920) 330-0278
Website:
Map and Directions
Authorized official contact:
Name: Kafka, Lisa Registered Occupational Therapist (OTR)
Phone: (920) 339-0700

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Hearing and Speech 261QH0700X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X

Profile Details

NPI number 1497851265
LBN Legal business name Country Kids Inc.
DBA Doing business as
Authorized official Kafka, Lisa Registered Occupational Therapist (OTR)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2006
Last updated Aug 28th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497851265 NPPES
Wisconsin MEDICAID 41217200

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