Healthcare Provider Details
I. General information
NPI: 1912301755
Provider Name (Legal Business Name): WHEN KIDS PLAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/21/2014
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2706 PINNACLE DR
BURLESON TX
76028-8315
US
IV. Provider business mailing address
1169 N BURLESON BLVD SUITE 107-225
BURLESON TX
76028
US
V. Phone/Fax
- Phone: 817-852-6707
- Fax: 817-887-4678
- Phone: 817-852-6707
- Fax: 817-887-4678
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LEILANI
BROWN
Title or Position: OCCUPATIONAL THERAPIST, COOWNER
Credential: OTR
Phone: 817-852-6707