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NACOGDOCHES PEDIATRIC EXTENDED CARE
NPI 1518440494
Clinic/Center - Medically Fragile Infants and Children Day Care in Nacogdoches, TX

Active since September 07, 2018
124 CREEKBEND BLVD, NACOGDOCHES, TX 75965(193) 623-4085 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 17, 2022, Sep 7, 2018 (2 updates tracked since 2018).

About Nacogdoches Pediatric Extended Care NPPES

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

NACOGDOCHES PEDIATRIC EXTENDED CARE (NPI 1518440494) is a healthcare organization registered as a medically fragile infants and children day care in Nacogdoches, Texas and active in the NPI registry since September 2018. The organization lists Misti Hajj, Owner, as its authorized official.

NPPES Registry Identity

NPI1518440494
Entity TypeOrganization
Primary Taxonomy261QM3000X
Legal Business NameNACOGDOCHES PEDIATRIC CARE
Location Address124 CREEKBEND BLVDNacogdoches, TX 75965-1780
Mailing Address2407 Pinehurst DrMonroe, LA 71201-2314 · (318) 348-5945
Phone(193) 623-4085
Organization SubpartNo
Authorized OfficialMisti HajjOwner · (318) 348-5945
Enumeration DateSeptember 7, 2018
Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1518440494 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.).
124 CREEKBEND BLVD, Nacogdoches, TX 75965
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Other Names 1

Doing Business AsNacogdoches Pediatric Extended Care

Other Identifiers 1

Medicaid4053464TX

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 Nacogdoches Pediatric Care's NPI number?

The NPI number for Nacogdoches Pediatric Care is 1518440494. It was assigned to this organization in the NPPES registry on September 7, 2018. The provider is doing business as Nacogdoches Pediatric Extended Care.

Where is Nacogdoches Pediatric Care located?

Nacogdoches Pediatric Care is located at 124 Creekbend Blvd, Nacogdoches, TX 75965. The listed phone number is (193) 623-4085.

What is Nacogdoches Pediatric Care'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.

When was this NPI record last updated?

The NPPES record for Nacogdoches Pediatric Care was last updated on August 17, 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.