Kicks Llc

LBN: Kicks Llc
Kicks Llc is an health care organization with primary practice located at 143 S 29Th St , Newark OH 43055-1903. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Developmental Disabilities, Transportation Services / Non-emergency Medical Transport (VAN). Ambulatory Health Care Facilities / Developmental Disabilities is the primary health care specialty. Kicks Llc can be contacted via phone (740) 348-0011, or through Spain, Diana via phone (740) 348-0011.

Contact Information

Primary practice address
143 S 29Th St Newark OH 43055-1903
Phone: (740) 348-0011
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Spain, Diana
Phone: (740) 348-0011

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1194321067
LBN Legal business name Kicks Llc
DBA Doing business as
Authorized official Spain, Diana
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2020
Last updated Dec 7th, 2020 - about 4 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 1194321067 NPPES
Other 4504343 DODD

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