National Provider Identifier Database

CHILD CARE THERAPY LLC
Home Health

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.


Contact Information

CHILD CARE THERAPY, LLC
1756 HALIFAX ST
ROANOKE, TX76262
Phone: 310-975-5043
Fax:
Website:
Specialty Taxonomy Code
* Home Health 251E00000X

* Indicates primary specialty

NPI Profile & details for CHILD CARE THERAPY, LLC

NPI Number 1083000764
Legal business name
LBN
CHILD CARE THERAPY, LLC
Authorized official ROBERT GUSSONI - (FOUNDER/CEO)
Entity Organization
Organization subpart No
Enumeration date 04/09/2015
Last updated 06/30/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: 3625592

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CHILD CARE THERAPY, LLC

There are currently no reviews for CHILD CARE THERAPY, LLC


NPIdb - Home
v2.201