Provider Demographics
NPI:1487483129
Name:WINFIELD CHILDREN'S CENTER, LLC
Entity type:Organization
Organization Name:WINFIELD CHILDREN'S CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SECIL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHONDROSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:636-566-0955
Mailing Address - Street 1:4019 STATE HIGHWAY 47
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63389
Mailing Address - Country:US
Mailing Address - Phone:636-566-0955
Mailing Address - Fax:
Practice Address - Street 1:4019 STATE HIGHWAY 47
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:MO
Practice Address - Zip Code:63389
Practice Address - Country:US
Practice Address - Phone:636-566-0955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-31
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty