Child Care Therapy, LLC
Organization Active NPI Home Health Agency · Roanoke, TX
NPI 1083000764 · NPPES record last updated Jun 30, 2018
Key facts
- NPI
- 1083000764
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- CHILD CARE THERAPY, LLC
- Practice address
- 1756 Halifax St
Roanoke, TX 76262 - Phone
- (310) 975-5043
- NPI assigned
- Apr 9, 2015
- Organization subpart
- No
Authorized official
- Name
- Robert Gussoni
- Title
- Founder/Ceo
- Phone
- (469) 993-8028
Practitioners 2
-
Joanna Christal Mendoza, PT, DPT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
1756 Halifax St
Roanoke, TX 76262
Mailing address
1756 Halifax St
Roanoke, TX 76262-1388
Phone (469) 993-8028
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3625592 | Medicaid | TX |
Other providers in Roanoke, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.