National Provider Identifier Database

PRESCRIBED PEDIATRIC EXTENDED CARE INC
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

PRESCRIBED PEDIATRIC EXTENDED CARE, INC
611 PEGRAM DR
TUPELO, MS38801-6321
Phone: 813-870-0000
Fax:
Website:
Specialty Taxonomy Code
* Medically Fragile Infants and Children Day Care 261QM3000X

* Indicates primary specialty

NPI Profile & details for PRESCRIBED PEDIATRIC EXTENDED CARE, INC

NPI Number 1598123572
Legal business name
LBN
PRESCRIBED PEDIATRIC EXTENDED CARE, INC
Authorized official CAMEO ZEHNDER - (CAO AND VP)
Entity Organization
Organization subpart No
Enumeration date 02/04/2016
Last updated 02/17/2026 - About 4 months 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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