NPIMap

Organization Active NPI

Kids Unlimited Learning Academy of Siloam Springs

  • Rehabilitation Clinic/Center
  • Siloam Springs, AR
National Provider Identifier
1093408247
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
KIDS UNLIMITED LEARNING ACADEMY OF SILOAM SPRINGS
Practice address
1300 N Patriot
Siloam Springs, AR 72761-2103
Phone
(870) 336-8100
NPI assigned
Jun 1, 2023
Organization subpart
Yes
Parent organization
MIRACLE KIDS SUCCESS ACADEMY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Shelly Keller, MCD, CCC-SLP
Title
Ceo
Phone
(870) 336-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1300 N Patriot
Siloam Springs, AR 72761-2103

Mailing address

3127 Southwest Dr Ste a
Jonesboro, AR 72404-8404
Phone (870) 336-8100

National Provider Directory

National Provider Directory
Tax ID family
Kids Unlimited Learning Academy of Siloa2 organizations share this tax ID, including this one
Part of
Miracle Kids Success Academy

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1300 N Patriot
Siloam Springs, AR 72761
Phone (479) 373-6488

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1093408247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 SOUTHWEST DR STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048404",
            "telephone_number": "870-336-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N PATRIOT",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727612103",
            "telephone_number": "870-336-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS UNLIMITED LEARNING ACADEMY OF SILOAM SPRINGS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIRACLE KIDS SUCCESS ACADEMY, INC.",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-336-8100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.