Provider Demographics
NPI:1487988994
Name:KIDS ONN THE GO INC
Entity type:Organization
Organization Name:KIDS ONN THE GO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:MHA, OTR/L
Authorized Official - Phone:864-608-5437
Mailing Address - Street 1:104 BRYDON CT
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29680-6866
Mailing Address - Country:US
Mailing Address - Phone:864-608-5437
Mailing Address - Fax:864-967-9615
Practice Address - Street 1:104 BRYDON CT
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29680-6866
Practice Address - Country:US
Practice Address - Phone:864-608-5437
Practice Address - Fax:864-967-9615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1762252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP3187Medicaid