Provider Demographics
NPI:1477281533
Name:KIDS FIRST PEDIATRIC HOME HEALTH AGENCY INC
Entity type:Organization
Organization Name:KIDS FIRST PEDIATRIC HOME HEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SICHIMO
Authorized Official - Middle Name:
Authorized Official - Last Name:KALINDA
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:469-828-1018
Mailing Address - Street 1:13601 PRESTON RD STE E 1050
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-4927
Mailing Address - Country:US
Mailing Address - Phone:469-828-1018
Mailing Address - Fax:469-828-1019
Practice Address - Street 1:13601 PRESTON RD STE E 1050
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-4927
Practice Address - Country:US
Practice Address - Phone:469-828-1018
Practice Address - Fax:469-828-1019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-08
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health