Active NPI
KJK Compassion Care LLC
- Home Health Agency
- Woodstock, GA
National Provider Identifier
1104647502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- KJK COMPASSION CARE LLC
- Practice address
- 2295 Towne Lake Pkwy Ste 116232
Woodstock, GA 30189-5520 - Phone
- (678) 907-8522
- NPI assigned
- Oct 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jachiele Howard
- Title
- Member
- Phone
- (678) 907-8522
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
2295 Towne Lake Pkwy Ste 116232
Woodstock, GA 30189-5520
Mailing address
2295 Towne Lake Pkwy Ste 116232
Woodstock, GA 30189-5520
Phone (678) 907-8522
Other practice location 1
753 Payton Ln
Acworth, GA 30102-7591
Phone (678) 907-8522
National Provider Directory
National Provider DirectoryLocations
2295 Towne Lake Pkwy
Ste 116232
Woodstock, GA 30189
Phone (678) 907-8522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729209600000",
"number": "1104647502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2295 TOWNE LAKE PKWY STE 116232",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301895520",
"telephone_number": "678-907-8522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2295 TOWNE LAKE PKWY STE 116232",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301895520",
"telephone_number": "678-907-8522"
}
],
"practiceLocations": [
{
"address_1": "753 Payton Ln",
"address_purpose": "LOCATION",
"city": "Acworth",
"state": "GA",
"postal_code": "301027591",
"country_code": "US",
"telephone_number": "678-907-8522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KJK COMPASSION CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-18",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "JACHIELE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "678-907-8522"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.