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NPI 1942988399

NPI 1942988399 : KIDS ON CLOUDS LLC : CONCORD, NC

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General NPI Number Information
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    NPI Number           |    1942988399
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    Entity Type          |    Organization 
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    Legal Business Name  |    KIDS ON CLOUDS LLC 
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Dates
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    Enumeration Date     |    07/06/2023
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    Last Update Date     |    05/03/2024
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Provider Practice Location Address
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    Address Line         |    1840 SCARBROUGH CIR SW 
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    City                 |    CONCORD
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    State                |    NC
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    Zip                  |    28025-6744
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    Country              |    US
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    Telephone            |    980-248-9004
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1840 SCARBROUGH CIR SW 
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    City                 |    CONCORD
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    State                |    NC
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    Zip                  |    28025-6744
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    Country              |    US
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    Telephone            |    980-248-9004
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     CHYNA  BATES 
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    Credential           |    
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    Telephone            |    980-248-9004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    311ZA0620X
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    Taxonomy Name        |    Adult Care Home Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    322D00000X
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    Taxonomy Name        |    Emotionally Disturbed Childrens' Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    385HR2060X
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    Taxonomy Name        |    Child Intellectual and/or Developmental Disabilities Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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