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EARTH ANGELS PEDIATRIC DAY CENTER LLC
NPI 1386374049
Clinic/Center - Medically Fragile Infants and Children Day Care in Grand Prairie, TX

Active since June 15, 2022CLIA 45D2287457 · Waiver
2045 N HWY 360 STE 100, GRAND PRAIRIE, TX 75050(954) 234-5589 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Earth Angels Pediatric Day Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EARTH ANGELS PEDIATRIC DAY CENTER LLC (NPI 1386374049) is a healthcare organization registered as a medically fragile infants and children day care in Grand Prairie, Texas and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Victoria M Kelly, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1386374049
Entity TypeOrganization
Primary Taxonomy261QM3000X
Legal Business NameEARTH ANGELS PEDIATRIC DAY CENTER LLC
Location Address2045 N HWY 360 STE 100Grand Prairie, TX 75050-1432
Mailing Address2700 Brierfield DrMonroe, LA 71201-3047 · (954) 234-5589
Phone(954) 234-5589
Organization SubpartNo
Authorized OfficialVictoria M KellyManaging Member · (954) 234-5589
Enumeration DateJune 15, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1386374049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medically Fragile Infants and Children Day CareAmbulatory Health Care Facilities
Taxonomy Code261QM3000X
Definition
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.).
2045 N HWY 360 STE 100, Grand Prairie, TX 75050
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2287457

Earth Angels Pediatric Day Center, LLC · Grand Prairie, TX
Active · expires Aug 14, 2027
CLIA Number45D2287457
Laboratory TypePpecc
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorAngela D. Nowell
Laboratory Phone(682) 683-2450
Laboratory LocationEarth Angels Pediatric Day Center, LLC2045 North Hwy 360 Suite 100A, Grand Prairie, TX 75050
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB CAMERON JOHNSTON
Physical Therapist
2045 N HWY 360 STE 100
GRAND PRAIRIE, TX 75050
Dallas County (972) 623-1111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Earth Angels Pediatric Day Center LLC's NPI number?

The NPI number for Earth Angels Pediatric Day Center LLC is 1386374049. It was assigned to this organization in the NPPES registry on June 15, 2022.

Where is Earth Angels Pediatric Day Center LLC located?

Earth Angels Pediatric Day Center LLC is located at 2045 N Hwy 360 Ste 100, Grand Prairie, TX 75050. The listed phone number is (954) 234-5589.

What is Earth Angels Pediatric Day Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medically Fragile Infants and Children Day Care, with taxonomy code 261QM3000X.

Does Earth Angels Pediatric Day Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2287457) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Earth Angels Pediatric Day Center LLC was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.