Provider Demographics
NPI:1720569072
Name:365 KIDS LLC
Entity Type:Organization
Organization Name:365 KIDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMRITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-667-3430
Mailing Address - Street 1:6700 192ND ST APT 1013
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-3737
Mailing Address - Country:US
Mailing Address - Phone:917-667-3430
Mailing Address - Fax:
Practice Address - Street 1:6700 192ND ST APT 1013
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-3737
Practice Address - Country:US
Practice Address - Phone:917-667-3430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management