NPI age
3 years
Enumerated 2022-06-15
● Active Type 2 · Organization
Earth Angels Pediatric Day Center Llc
Earth Angels Pediatric Day Center Llc is 1 of 31 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kelly
Managing Member
Last NPPES update
2022-06-15
Source: monthly bulk 2026-05
How this organization compares
Across 31 active clinic/center providers in Texas.
NPI age
3 years
≈ at median (2 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-06Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
2045 N Hwy 360 Ste 100
Grand Prairie, TX 750501432
Mailing address
2700 Brierfield Dr
Monroe, LA 712013047
Authorized official
Victoria M Kelly
Managing Member
📞 9542345589
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jacob Johnston Physical Therapist NPI 1760329973
Specialties
-
Clinic/Center PrimaryAn 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...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.