Kidz R Miracles Childcare & Therapy Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

KIDZ R MIRACLES CHILDCARE & THERAPY INC.

Practice address

1044 W 112TH St
Chicago, IL 60643-4639

Phone

(312) 363-9120

Fax

(312) 453-6059

NPI assigned

Mar 19, 2019

Organization subpart

No

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

Authorized official

Name

Kandyce Kinte BynumNPI 1073959011

Title

Owner/President

Phone

(312) 363-9120

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kandyce Kinte Bynum

  • Developmental Therapist
  • Chicago, IL
  • NPI 1073959011
  NPD (past) Authorized official

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1700345576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 W 112TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434639",
            "telephone_number": "312-363-9120",
            "fax_number": "312-453-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 W 112TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434639",
            "telephone_number": "312-363-9120",
            "fax_number": "312-453-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ R MIRACLES CHILDCARE & THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "KANDYCE",
        "authorized_official_middle_name": "KINTE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "312-363-9120"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidsx LLC
• Kate Kidwell
• Kidz Biz Early Intervention
• Kidz Health P.C.
• Kidz N Play Inc.
• Richard Jeffrey Kiebala, PHARMD
• Elizabeth Faye Kieff, M.D.
• Katharine Marie Kiehn, LCPC, ATR
• Ashley Kiel, M.ED., BCBA
• Ronald Dennis Kielar, PHARMACIST

• Early Intervention Provider Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.