Kib Senior Services Agency Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KIB SENIOR SERVICES AGENCY INC

Practice address

602 Bethel Ave
Memphis, TN 38107-2535

Phone

(901) 503-4089

NPI assigned

Jun 23, 2021

Organization subpart

No

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

Authorized official

Name

Buffy Williams-Brigham

Title

Ceo

Phone

(901) 503-4089

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1033788005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 BETHEL AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381072535",
            "telephone_number": "901-503-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 BETHEL AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381072535",
            "telephone_number": "901-503-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIB SENIOR SERVICES AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-BRIGHAM",
        "authorized_official_first_name": "BUFFY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-503-4089"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kibagency602@gmail.com",
            "affiliation": "N",
            "address_1": "602 Bethel Ave",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381072535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Faisal Khowaja, MD
• Ayda W Khuri, RDH, MA
• Radwan R Khuri, MD
• Kiarad Enterprises Services LLC
• Kib
• Lakrisha G Kidd, LPTA
• Kidney Care Center Memphis LLC
• Kidney Care Center,P.L.L.C.
• Kidney Care Consultants, P.C.
• Kidney Specialists, P.C.

• Home Health Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• Home Health Agency in Tennessee

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