MEDICARE: AEROKIDS OF NC, LLC

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	227800000X	Certified Respiratory Therapist

General Provider Information

NPI Number	:	1770439929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AEROKIDS OF NC, LLC

Provider Business Mailing Address
First Line	:	804 STAMPER RD STE 201
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-4163
Country	:	US
Telephone Number	:	910-740-7495
Fax Number	:

Provider Business Practice Location Address
First Line	:	804 STAMPER RD STE 201
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-4163
Country	:	US
Telephone Number	:	910-740-7495
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. BEVERLY SHEA TODD
Credential	:	RCP, CRT
Telephone Number	:	910-740-7495

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/23/2026

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