Tko Homecare

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

1052 Issued in WI

Legal business name

TKO HOMECARE

Practice address

5401 N 76TH St Ste 201
Milwaukee, WI 53218-2746

Phone

(414) 616-8920

Fax

(414) 616-8910

NPI assigned

Sep 27, 2006

Last updated

Feb 29, 2008By 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

Miss Kemba Banyard, RNNPI 1295080521

Title

Administrator

Phone

(414) 616-8920

Specialties & licenses 1

Addresses

Other names 1

• TKO HOME CARE LLC Former legal business name

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.

• Kemba Banyard, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Milwaukee, WI
  • NPI 1295080521
  NPD (past) Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1083705966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N 76TH ST STE 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532182746",
            "telephone_number": "414-616-8920",
            "fax_number": "414-616-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N 76TH ST STE 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532182746",
            "telephone_number": "414-616-8920",
            "fax_number": "414-616-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKO HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "BANYARD",
        "authorized_official_first_name": "KEMBA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-616-8920",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "1052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TKO HOME CARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Madeline Anne Titus
• Apurva Tiwari
• Jessica Tjaden, FNP-BC
• Christine Tjernagel, DPT
• Igor Tkachyk, M.D.
• TKTK Logistics, LLC
• TL Boyd Dental Servics, Inc
• TLC Community Health LLC
• TLC Personal Care Agency LLC
• Wieslawa Tlomak, MD

• Home Health Registered Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Home Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.