Kibra La'Tise Vanhorn

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

1012128 Issued in CA

Practice address

185 E Main St Ste 405
Benton Harbor, MI 49022-4432

Phone

(269) 588-1119

NPI assigned

Jun 17, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kibra L Vanhorn-Williams Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Neon Movement Wellness Center LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Benton Harbor, MI
  • NPI 1376428938
  NPD

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1043106982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1388 SAINT THOMAS ST UNIT B",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490223908",
            "telephone_number": "269-861-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 E MAIN ST STE 405",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490224432",
            "telephone_number": "269-588-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHORN",
        "first_name": "KIBRA",
        "middle_name": "LA'TISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-09-11",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "1012128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIBRA",
            "last_name": "VANHORN-WILLIAMS",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Van'S Medical Equipment, LLC
• Nancy J. Vande Vrede, MA, LPC NCC
• Kathryn Vandermolen
• Meagan B Vandrunen
• Robert Vanhofwegen
• Lucretia Ellen Vantuyle
• Daniel J Varela, LLMSW
• Nereida Vargas
• Matthew Veenstra, D.D.S.
• Matthew John Ventimiglia

• Rehabilitation Practitioner in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Rehabilitation Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.