PERSONAL PEDIATRIC CARE OF PICAYUNE LLC
NPI 1629842190
Skilled Nursing Facility - Nursing Care, Pediatric in Picayune, MS
About Personal Pediatric Care Of Picayune Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PERSONAL PEDIATRIC CARE OF PICAYUNE LLC (NPI 1629842190) is a healthcare organization registered as a nursing care, pediatric in Picayune, Mississippi and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through June 24, 2028 and lists Jill Friloux, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 25D2306858
Personal Pediatric Care Of Picayune LLC · Picayune, MSOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Personal Pediatric Care Of Picayune LLC's NPI number?
The NPI number for Personal Pediatric Care Of Picayune LLC is 1629842190. It was assigned to this organization in the NPPES registry on November 14, 2023.
Where is Personal Pediatric Care Of Picayune LLC located?
Personal Pediatric Care Of Picayune LLC is located at 104 Street A, Picayune, MS 39466. The listed phone number is (225) 362-9553.
What is Personal Pediatric Care Of Picayune LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.
Does Personal Pediatric Care Of Picayune LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2306858) is associated with this NPI, valid through June 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Personal Pediatric Care Of Picayune LLC was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Personal Pediatric Care Of Picayune Llc · NPI 1629842190
Nursing Care, Pediatric organization in Picayune, Mississippi. Organization record, active in the CMS NPPES registry since November 14, 2023.
## Identity
- **NPI:** 1629842190 (Entity type: Organization)
- **Enumerated:** November 14, 2023
- **Primary specialty:** Skilled Nursing Facility - Nursing Care, Pediatric · taxonomy 3140N1450X
- **Organization subpart:** No
- **Authorized official:** Jill Friloux, OWNER
## Practice location
- **Address:** 104 STREET A, Picayune, MS 39466-5466
- **Phone:** (225) 362-9553
## Record status
- **NPPES last updated:** November 14, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629842190) · Data from the CMS NPPES public registry.