MEDICARE: HELPING KIDS IS OUR HAPPY PLACE PEDIATRIC THERAPY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1134922792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING KIDS IS OUR HAPPY PLACE PEDIATRIC THERAPY, INC

Provider Business Mailing Address
First Line	:	2684 ALMOND AVE FL 34746
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-3202
Country	:	US
Telephone Number	:	407-346-6850
Fax Number	:	407-346-6850

Provider Business Practice Location Address
First Line	:	2684 ALMOND AVE FL 34746
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-3202
Country	:	US
Telephone Number	:	407-346-6850
Fax Number	:	407-346-6850

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MRS. RENUKA MCDAVID
Credential	:	RN
Telephone Number	:	407-346-6850

Provider Enumeration Date	:	03/29/2025
Last Update Date	:	03/29/2025

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