Provider Demographics
NPI:1851328082
Name:SPECIAL KIDS INC
Entity Type:Organization
Organization Name:SPECIAL KIDS INC
Other - Org Name:COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:TRUELOVE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:615-893-4922
Mailing Address - Street 1:2208 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-4663
Mailing Address - Country:US
Mailing Address - Phone:615-890-1003
Mailing Address - Fax:615-890-6499
Practice Address - Street 1:2208 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-4663
Practice Address - Country:US
Practice Address - Phone:615-890-1003
Practice Address - Fax:615-890-6499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163W00000X, 225100000X, 225X00000X, 314000000X
TN225100000X, 225X00000X, 235Z00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing FacilityGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN444527OtherCORF ID NUMBER
TN0444527Medicaid
TN0444527Medicaid
TN444527OtherCORF ID NUMBER