NPIMap

Organization Active NPI

Kaleo Support, Inc.

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1083801351
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KALEO SUPPORT, INC.
Practice address
302 Mason St
Fayetteville, NC 28301-5006
Phone
(910) 630-2255
Fax
(910) 339-2808
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Mrs. Nancy P Szymkowiak
Title
President/Executive Director
Phone
(910) 630-2255

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NC
Community/Behavioral Health Agency 251S00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

302 Mason St
Fayetteville, NC 28301-5006

Mailing address

3718 Golfview Rd
Hope Mills, NC 28348-2818
Phone (910) 322-2755

Other identifiers 1

IdentifierTypeStateIssuer
3418487MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Kaleo Supports Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

302 Mason St
Fayetteville, NC 28301
Phone (910) 630-2255

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1083801351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 GOLFVIEW RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482818",
            "telephone_number": "910-322-2755",
            "fax_number": "910-339-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MASON ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015006",
            "telephone_number": "910-630-2255",
            "fax_number": "910-339-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEO SUPPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "SZYMKOWIAK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-630-2255",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418487",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.