Kicks LLC
NPI 1194321067 · Developmental Disabilities Clinic/Center · Newark, OH
Kicks LLC is a Developmental Disabilities Clinic/Center organization in Newark, OH (NPI 1194321067).
Provider details
- NPI number
- 1194321067
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Diana Spain, Co-Owner(740) 348-0011
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Day Care Clinic/Center261QA0600X
Ambulatory Health Care Facilities
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Kicks Lcc
Registry dates
- Enumerated
- 2020-12-07
- Last updated
- 2020-12-07
- Certified
- 2020-12-07
Frequently asked questions
- What is Kicks LLC's NPI number?
- Kicks LLC's National Provider Identifier (NPI) is 1194321067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kicks LLC?
- Kicks LLC is classified in the NPPES registry as Developmental Disabilities Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kicks LLC located?
- Kicks LLC's practice location on file with NPPES is 143 S 29th St, Newark, OH 43055-1903.
- What is Kicks LLC's phone number?
- The practice phone number listed in the NPPES registry for Kicks LLC is (740) 348-0011.
- Who is the authorized official for Kicks LLC?
- The authorized official listed on Kicks LLC's NPPES record is Diana Spain, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kicks LLC's NPI active?
- Yes — Kicks LLC's NPI (1194321067) is active in the NPPES registry as of the last update on 2020-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.