K & S Childhood Development

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

K & S CHILDHOOD DEVELOPMENT

Practice address

611 Martin Luther King Jr Dr
Monroe, LA 71203-5360

Phone

(318) 388-4953

Fax

(318) 388-7650

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria C. Dixon

Title

Owner

Phone

(318) 388-4953

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• K & S PCA/SIL, Inc Doing business as

Tax ID family

K S Childhood Development3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• K & S Childhood Development

  • Durable Medical Equipment & Medical Supplies
  • Monroe, LA
  • NPI 1841472198
  NPD tax ID
• K & S Personal Care

  • Home Health Agency
  • Monroe, LA
  • NPI 1477715282
  NPD tax ID

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1265485205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4327",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712114327",
            "telephone_number": "318-388-4953",
            "fax_number": "318-388-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MARTIN LUTHER KING JR DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712035360",
            "telephone_number": "318-388-4953",
            "fax_number": "318-388-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & S CHILDHOOD DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-388-4953",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1478474",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K & S PCA/SIL, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benji Juneau, PHYSICIAN ASSISTANT
• Junior Love LLC
• Just Health
• Just Health
• Justin E Tarver DDS Apdc
• K & S Childhood Development
• K & S Personal Care
• Anusha Kallamvalappil
• Jennifer Nicole Kamm, NP
• Umashankar Kandasamy, M.D

• All providers in Monroe, LA
• Personal Care Attendant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.