Kimberly Homes LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

KIMBERLY HOMES LLC

Practice address

8041 Scott Ave N
Brooklyn Park, MN 55443-2353

Phone

(763) 742-8271

NPI assigned

Dec 17, 2008

Organization subpart

No

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

Authorized official

Name

Kimberly Ray

Title

Partner

Phone

(763) 742-8271

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1023254331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8041 SCOTT AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8041 SCOTT AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432353",
            "telephone_number": "763-742-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "763-742-8271"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyder Mohammad Khan, PH.D., MD
• Shazia Khan
• Mary-Nyakoun K Khaway, MA
• Kelly Uyen Khieu
• Emily Marie Kidd, MD
• Kindheart Homes Inc
• Aja Dionna King, ED.D.
• Kingsway Healthcare Services LLC
• Christopher Michael Kissell, FNP
• Omer J Kissi

• Adult Care Home Facility in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Adult Care Home Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.