Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kicks LLC

Organization Adult Day Care Clinic/Center · NPI 1194321067

Kicks LLC is an Adult Day Care Clinic/Center in Newark, Ohio. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

143 S 29th St
Newark, OH 43055-1903
Phone: (740) 348-0011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X
Adult Day Care Clinic/Center Taxonomy 261QA0600X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X

Record details

NPI number1194321067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Spain — Co-Owner · (740) 348-0011
Other names Kicks Lcc
NPI enumeratedDecember 7, 2020
Last updated in NPPESDecember 7, 2020
Certification dateDecember 7, 2020
Mailing address143 S 29th St, Newark, OH 43055-1903

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