SUNSHINE PEDIATRIC DAY CENTER FORT WORTH LLC
NPI 1104596543
Clinic/Center - Medically Fragile Infants and Children Day Care in Dallas, TX

NPI Status: Active since September 16, 2021

Contact Information

9127 KING ARTHUR DR
DALLAS, TX
ZIP 75247
Phone: (972) 882-9498
Fax: (972) 755-4420

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  • Organization
  • Clinic/Center
  • Medically Fragile Infants and Children D...

About SUNSHINE PEDIATRIC DAY CENTER FORT WORTH LLC

This page provides the complete NPI Profile along with additional information for Sunshine Pediatric Day Center Fort Worth Llc, a provider established in Dallas, Texas operating as a Clinic/center, focusing in medically fragile infants and children day care . The healthcare provider is registered in the NPI registry with number 1104596543 assigned on September 2021. The practitioner's primary taxonomy code is 261QM3000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is David R Maymon Jd (Ceo)

NPI
1104596543
Provider Name
SUNSHINE PEDIATRIC DAY CENTER FORT WORTH LLC
Entity Type
Organization
Location Address
9127 KING ARTHUR DR DALLAS, TX 75247
Location Phone
(972) 882-9498
Location Fax
(972) 755-4420
Mailing Address
9127 KING ARTHUR DR DALLAS, TX 75247
Mailing Phone
(972) 882-9498
Mailing Fax
(972) 755-4420
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2021
Last Update Date
03-30-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medically Fragile Infants and Children Day Care

Taxonomy Code
261QM3000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID R MAYMON JD

Authorized Official Title
CEO
Authorized Official Phone
(972) 882-9498

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104596543
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21041091258
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 0 + 9 + 1 + 2 + 5 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1104596543 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

GABRIELLA MARIA BORBOA OTD, OTR/L

Occupational Therapist

9127 KING ARTHUR DR
DALLAS, TX
ZIP 75247

(972) 882-9498

ERIKA HERNANDEZ

Specialist/Technologist

(Speech-Language Assistant)

9127 KING ARTHUR DR
DALLAS, TX
ZIP 75247

(972) 882-9498

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104596543, enumerated as an "organization" on September 16, 2021.

The provider is located at 9127 KING ARTHUR DR DALLAS, TX 75247 and the phone number is (972) 882-9498.

Clinic/Center with taxonomy code 261QM3000X and a focus in Medically Fragile Infants and Children Day Care.