MEDICARE: SPECIAL KIDS INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	163W00000X	Registered Nurse
2	225100000X	Physical Therapist
3	225X00000X	Occupational Therapist
4	225X00000X	Occupational Therapist	TN
5	314000000X	Skilled Nursing Facility
6	314000000X	Skilled Nursing Facility	TN
7	235Z00000X	Speech-Language Pathologist	TN
8	225100000X	Physical Therapist	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	444527	OTHER	TN	CORF ID NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851328082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIAL KIDS INC

Provider Business Mailing Address
First Line	:	2132 E MAIN ST
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37130-4043
Country	:	US
Telephone Number	:	615-809-2632
Fax Number	:	615-893-4923

Provider Business Practice Location Address
First Line	:	2208 EAST MAIN STREET
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37130-4663
Country	:	US
Telephone Number	:	615-809-2632
Fax Number	:	615-893-4923

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. CHRIS L TRUELOVE
Credential	:	MS
Telephone Number	:	615-809-2632

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	01/28/2025

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Directions to “SPECIAL KIDS INC ” Practice Location

Language	Start Address	Practice Location

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