Active NPI
Kids Onn the Go Inc
- Early Intervention Provider Agency
- Simpsonville, SC
National Provider Identifier
1487988994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 1762
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3187 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI 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.