Organization Active NPI

Kba Entertainment, LLC

  • In Home Supportive Care Agency
  • Pleasant Hill, IA
National Provider Identifier
1043053887
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KBA ENTERTAINMENT, LLC
Doing business as
Acti-Kare Responsive In-Home Care
Practice address
751 NE 60TH St Apt 311
Pleasant Hill, IA 50327-3313
Phone
(319) 775-1202
NPI assigned
Jun 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Henry Wrodukuh GarsayneNPI 1083456362
Title
Boss
Phone
(319) 775-1202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

751 NE 60TH St Apt 311
Pleasant Hill, IA 50327-3313

Mailing address

751 NE 60TH St Apt 311
Pleasant Hill, IA 50327-3313
Phone (319) 775-1202

Other names 1

  • Acti-Kare Responsive In-Home Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1043053887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 NE 60TH ST APT 311",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503273313",
            "telephone_number": "319-775-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 NE 60TH ST APT 311",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503273313",
            "telephone_number": "319-775-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBA ENTERTAINMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "GARSAYNE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "WRODUKUH",
        "authorized_official_title_or_position": "BOSS",
        "authorized_official_telephone_number": "319-775-1202"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acti-Kare Responsive In-Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Hill, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.