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.).
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Medically Fragile Infants and Children Day Care | 261QM3000X |
* Indicates primary specialty
| NPI Number | 1780293787 |
| Legal business name LBN |
STARKVILLE PEDIATRIC EXTENDED CARE LLC |
| Authorized official | MARK HAMMOND - (OWNER) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 07/26/2020 |
| Last updated | 07/26/2020 - About 6 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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