K&W Care Homes

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

K&W CARE HOMES

Practice address

4496 Highway 5
Douglasville, GA 30135-3539

Phone

(678) 403-8104

NPI assigned

Oct 21, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kirk Tucker

Title

Director

Phone

(770) 369-0695

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1003579467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2698 SUMMIT HILLS DR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842947",
            "telephone_number": "770-369-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4496 HIGHWAY 5",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301353539",
            "telephone_number": "678-403-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&W CARE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-369-0695"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kirkt@kandwcarehomes.com",
            "affiliation": "N",
            "address_1": "4496 Highway 5",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301353539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Jordan
• Journey'S Family Services, LLC
• Juanitas Haven
• Tanya Michelle Judkins
• Edward Paul Justice, CCC-A
• Soccoh A Kabia, M.D.
• Kaiser Foundation Health Plan of Georgia, Inc.
• Kaiser Permanente
• Jessica Sara Kallish
• Kamlesh D. Nayak, MD, PC

• Assisted Living Facility in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.