Organization Active NPI

Kond Medical LLC

  • Home Health Agency
  • Utica, NY
National Provider Identifier
1003587619
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KOND MEDICAL LLC
Practice address
1 Hopper St
Utica, NY 13501-3508
Phone
(315) 864-8587
NPI assigned
Sep 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Authorized official

Name
Nerina J Moultriez
Title
Ceo
Phone
(315) 717-2126

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Community Based Hospice Care Agency 251G00000X
Nursing Care Agency 251J00000X

Addresses

Primary practice location

1 Hopper St
Utica, NY 13501-3508

Mailing address

1 Hopper St
Utica, NY 13501-3508
Phone (315) 864-8587

National Provider Directory

National Provider Directory

Locations

1 Hopper St
Utica, NY 13501
Phone (315) 864-8587

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1003587619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOPPER ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135013508",
            "telephone_number": "315-864-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOPPER ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135013508",
            "telephone_number": "315-864-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOND MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "MOULTRIEZ",
        "authorized_official_first_name": "NERINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-717-2126"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.