K&R Glowing Pride Residential Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

K&R GLOWING PRIDE RESIDENTIAL SERVICES

Practice address

301 E Carmel Dr Ste E300
Carmel, IN 46032-4817

Phone

(317) 517-7688

NPI assigned

Feb 5, 2020

Last updated

Jan 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keyana RiceNPI 1003620162

Title

Owner

Phone

(317) 517-7688

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keyana Rice

  • Driver
  • Carmel, IN
  • NPI 1003620162
  NPD Authorized official

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1083246227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3193 PINENUT DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327124364",
            "telephone_number": "317-517-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CARMEL DR STE E300",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324817",
            "telephone_number": "317-517-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&R GLOWING PRIDE RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "KEYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-517-7688"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Davidson Jungemann, NP-C
• Emily Junger
• Laura Michelle Juntgen, D.M.D., MSD
• Justin M Gilmore DC PC
• Denis Jusufbegovic, M.D.
• K&R Glowing Pride Residential Services of Nevada (K&R Glowing Pride Residential Services)
• Rola Kaakeh, PHARMD, CFPH
• Kabafusion in, LLC (KabaFusion IN)
• Ellen Wayman Kaehr, M.D.
• Mark Matson Kaehr, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Carmel, IN
• Providers in Carmel, IN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.