PRESCRIBED PEDIATRIC EXTENDED CARE, INC
NPI 1598123572
Clinic/Center - Medically Fragile Infants and Children Day Care in Tupelo, MS

Active since February 04, 2016CLIA 25D2092297 · Waiver
611 PEGRAM DR, TUPELO, MS 38801(813) 870-0000 Get Directions Write a Review

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

Record update history: Apr 28, 2021, Feb 4, 2016 (2 updates tracked since 2016).

About Prescribed Pediatric Extended Care, Inc NPPES

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

PRESCRIBED PEDIATRIC EXTENDED CARE, INC (NPI 1598123572), doing business as Pediatric Health Choice, is a healthcare organization registered as a medically fragile infants and children day care in Tupelo, Mississippi and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Cameo Zehnder, Cao And Vp, as its authorized official.

NPPES Registry Identity

NPI1598123572
Entity TypeOrganization
Primary Taxonomy261QM3000X
Legal Business NamePRESCRIBED PEDIATRIC EXTENDED CARE, INC
Location Address611 PEGRAM DRTupelo, MS 38801-6321
Mailing Address4602c N Armenia AveTampa, FL 33603-2706 · (813) 870-0000 · Fax (813) 877-2006
Organization SubpartNo
Authorized OfficialCameo ZehnderCao And Vp · (651) 642-1825
Enumeration DateFebruary 4, 2016
Last NPPES UpdateFebruary 17, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
NPI 1598123572 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.).
611 PEGRAM DR, Tupelo, MS 38801

Other Names 1

Doing Business AsPediatric Health Choice

Accepted Insurance

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 25D2092297

Prescribed Ped Dba Pediatric Health Choice · Tupelo, MS
Active · expires Mar 2, 2027
CLIA Number25D2092297
Laboratory TypePpec
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorDeborah E. Fraze
Laboratory Phone(800) 783-9858
Laboratory LocationPrescribed Ped Dba Pediatric Health Choice611 Pegram Drive, Tupelo, MS 38801
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Prescribed Pediatric Extended Care, Inc's NPI number?

The NPI number for Prescribed Pediatric Extended Care, Inc is 1598123572. It was assigned to this organization in the NPPES registry on February 4, 2016. The provider is doing business as pediatric health choice.

Where is Prescribed Pediatric Extended Care, Inc located?

Prescribed Pediatric Extended Care, Inc is located at 611 Pegram Dr, Tupelo, MS 38801. The listed phone number is (813) 870-0000.

What is Prescribed Pediatric Extended Care, Inc'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 Prescribed Pediatric Extended Care, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2092297) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prescribed Pediatric Extended Care, Inc accept?

Health plans from Molina Healthcare list Prescribed Pediatric Extended Care, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prescribed Pediatric Extended Care, Inc was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.