NPIMap

Organization Active NPI

J&K Comfort Home

  • Community/Behavioral Health Agency
  • Isanti, MN
National Provider Identifier
1023840238
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
J&K COMFORT HOME
Doing business as
J&K Comfort Home
Practice address
311 Arabian LN SE
Isanti, MN 55040-4365
Phone
(612) 735-5559
Fax
(763) 452-0206
NPI assigned
Aug 16, 2024
Last updated
Aug 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Kevin Nyabicha, MD
Title
Designated Manager
Phone
(612) 735-5559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

311 Arabian LN SE
Isanti, MN 55040-4365

Mailing address

211 Palomino Rd SE
Isanti, MN 55040-7317
Phone (612) 735-5559

Other names 1

  • J&K Comfort Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
JK Comfort Home4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1023840238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PALOMINO RD SE",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550407317",
            "telephone_number": "612-735-5559",
            "fax_number": "763-452-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ARABIAN LN SE",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550404365",
            "telephone_number": "612-735-5559",
            "fax_number": "763-452-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&K COMFORT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "NYABICHA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DESIGNATED MANAGER",
        "authorized_official_telephone_number": "612-735-5559",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J&K Comfort Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Isanti, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.