Kinetic Kids, Inc.

LBN: Kinetic Kids, Inc.
Kinetic Kids, Inc. is an health care organization with primary practice located at 1016 Euclid Ave , Charlotte NC 28203-4520. The organization recently has 11 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Augmentative Communication, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Hearing and Speech, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Rehabilitation, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) is the primary health care specialty. Kinetic Kids, Inc. can be contacted via phone (704) 807-5699, or through Bacon, Tiffani S. via phone (704) 807-5699.

Contact Information

Primary practice address
1016 Euclid Ave Charlotte NC 28203-4520
Phone: (704) 807-5699
Fax: (704) 631-4574
Website:
Map and Directions
Authorized official contact:
Name: Bacon, Tiffani S. PT, MPT
Phone: (704) 807-5699

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X North Carolina
Agencies / Early Intervention Provider Agency 252Y00000X North Carolina
Ambulatory Health Care Facilities / Augmentative Communication 261QA3000X North Carolina
Ambulatory Health Care Facilities / Community Health 261QC1500X North Carolina
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X North Carolina
Ambulatory Health Care Facilities / Health Service 261QH0100X North Carolina
Ambulatory Health Care Facilities / Hearing and Speech 261QH0700X North Carolina
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X North Carolina
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X North Carolina
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X North Carolina
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X North Carolina

Profile Details

NPI number 1891949707
LBN Legal business name Kinetic Kids, Inc.
DBA Doing business as
Authorized official Bacon, Tiffani S. PT, MPT
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2008
Last updated Aug 20th, 2015 - about 9 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 1891949707 NPPES
North Carolina MEDICAID 7200262

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