Organization Active NPI

Kids Onn the Go Inc

  • Early Intervention Provider Agency
  • Simpsonville, SC
National Provider Identifier
1487988994
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1762 Issued in SC
Legal business name
KIDS ONN THE GO INC
Practice address
104 Brydon CT
Simpsonville, SC 29680-6866
Phone
(864) 608-5437
Fax
(864) 967-9615
NPI assigned
Sep 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Mrs. Barbara J Hill, MHA, OTR/L
Title
President
Phone
(864) 608-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1762 SC Primary

Addresses

Primary practice location

104 Brydon CT
Simpsonville, SC 29680-6866

Mailing address

104 Brydon CT
Simpsonville, SC 29680-6866
Phone (864) 608-5437

Other identifiers 1

IdentifierTypeStateIssuer
GP3187MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1487988994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BRYDON CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806866",
            "telephone_number": "864-608-5437",
            "fax_number": "864-967-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BRYDON CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806866",
            "telephone_number": "864-608-5437",
            "fax_number": "864-967-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS ONN THE GO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-608-5437",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHA, OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "SC",
            "license": "1762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3187",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.