Organization Active NPI

Sweet Peas Pediatric Care LLC

  • Home Health Agency
  • Madison, MS
National Provider Identifier
1700616828
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SWEET PEAS PEDIATRIC CARE LLC
Practice address
306 Trace Harbor Rd
Madison, MS 39110-8765
Phone
(407) 307-4544
NPI assigned
Aug 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Sarah Stevens
Title
Ceo
Phone
(407) 307-4544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

306 Trace Harbor Rd
Madison, MS 39110-8765

Mailing address

306 Trace Harbor Rd
Madison, MS 39110-8765
Phone (407) 307-4544

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1700616828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 TRACE HARBOR RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108765",
            "telephone_number": "407-307-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 TRACE HARBOR RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108765",
            "telephone_number": "407-307-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET PEAS PEDIATRIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-04",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-307-4544"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.