Healthcare Provider Details

I. General information

NPI: 1235057217
Provider Name (Legal Business Name): THE KIDS SPOT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 PULLMAN POINTE CT
HENDERSON NV
89012-4821
US

IV. Provider business mailing address

1405 PULLMAN POINTE CT
HENDERSON NV
89012-4821
US

V. Phone/Fax

Practice location:
  • Phone: 619-788-2615
  • Fax: 855-645-1415
Mailing address:
  • Phone: 619-788-2615
  • Fax: 855-645-1415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: YAEL ESTERSOHN
Title or Position: OWNER
Credential:
Phone: 619-788-2615