Kengga Enterprises

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KENGGA ENTERPRISES

Practice address

34696 Chinaberry Dr
Winchester, CA 92596-8866

Phone

(951) 599-5658

NPI assigned

Jul 29, 2014

Organization subpart

No

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

Authorized official

Name

Kalem Kengga

Title

Owner

Phone

(951) 599-5658

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1073921466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30724 BENTON RD",
            "address_2": "SUITE C 302-561",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34696 CHINABERRY DR",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968866",
            "telephone_number": "951-599-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENGGA ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "KENGGA",
        "authorized_official_first_name": "KALEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-599-5658"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston Johnson
• Alondra Juarez
• Karolina Kapustova, PHARMD
• Melissa Keil, CD
• Kelly Smith (optimal home care & staffing)
• Ifeanyi Jennifer Kerri-Walker
• KG Nemt LLC
• Lindsay Kristensen, MA
• Amber Lynn Kuhn, LVN
• Taylor Kuriakos, M.S., CCC-SLP

• In Home Supportive Care Agency in Winchester, CA
• Providers in Winchester, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.