Provider Demographics
NPI:1083902076
Name:LAREDO KIDS ADVANCED THERAPY
Entity Type:Organization
Organization Name:LAREDO KIDS ADVANCED THERAPY
Other - Org Name:SUNSHINE THERAPY & NURSING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SELINA
Authorized Official - Middle Name:R
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-231-6760
Mailing Address - Street 1:6508 N BARTLETT AVE STE D
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6446
Mailing Address - Country:US
Mailing Address - Phone:956-723-6600
Mailing Address - Fax:956-723-6614
Practice Address - Street 1:6508 N BARTLETT AVE STE D
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6446
Practice Address - Country:US
Practice Address - Phone:956-723-6600
Practice Address - Fax:956-723-6614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-12
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747980Medicare Oscar/Certification