National Provider Identifier Database

SUNSHINE PEDIATRIC DAY CENTER FORT WORTH LLC
Medically Fragile Infants and Children Day Care

An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).


Contact Information

SUNSHINE PEDIATRIC DAY CENTER FORT WORTH LLC
9127 KING ARTHUR DR
DALLAS, TX75247-3607
Phone: 972-882-9498
Fax: 972-755-4420
Website:
Specialty Taxonomy Code
* Medically Fragile Infants and Children Day Care 261QM3000X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for SUNSHINE PEDIATRIC DAY CENTER FORT WORTH LLC

NPI Number 1104596543
Legal business name
LBN
SUNSHINE PEDIATRIC DAY CENTER FORT WORTH LLC
Authorized official DAVID MAYMON - (CEO)
Entity Organization
Organization subpart No
Enumeration date 09/16/2021
Last updated 03/30/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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.

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