Awesome Kids Early Intervention Services LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

AWESOME KIDS EARLY INTERVENTION SERVICES LLC

Practice address

194 Arrowhead Lake Rd
North Augusta, SC 29860-8143

Phone

(803) 640-8493

NPI assigned

May 9, 2019

Organization subpart

No

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

Authorized official

Name

Virginia Fields

Title

Ei Director

Phone

(803) 645-3482

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1124684675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 ARROWHEAD LAKE RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298608143",
            "telephone_number": "803-645-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 ARROWHEAD LAKE RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298608143",
            "telephone_number": "803-640-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWESOME KIDS EARLY INTERVENTION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "EI DIRECTOR",
        "authorized_official_telephone_number": "803-645-3482"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in North Augusta, SC
• Early Intervention Provider Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.