Organization Active NPI

Konnect Home Care Services LLC

  • In Home Supportive Care Agency
  • Burleson, TX
National Provider Identifier
1033848940
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KONNECT HOME CARE SERVICES LLC
Practice address
200 Village Creek Pkwy Apt 3344
Burleson, TX 76028-3574
Phone
(856) 418-3495
NPI assigned
Jun 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Sidia Rose
Title
Owner / President / Administrator
Phone
(856) 418-3495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

200 Village Creek Pkwy Apt 3344
Burleson, TX 76028-3574

Mailing address

200 Village Creek Pkwy Apt 3344
Burleson, TX 76028-3574
Phone (856) 418-3495

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1033848940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VILLAGE CREEK PKWY APT 3344",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283574",
            "telephone_number": "856-418-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VILLAGE CREEK PKWY APT 3344",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283574",
            "telephone_number": "856-418-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONNECT HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "SIDIA",
        "authorized_official_title_or_position": "OWNER / PRESIDENT / ADMINISTRATOR",
        "authorized_official_telephone_number": "856-418-3495"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.