K & K Healthcare System, Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

075R0014 Issued in GA

Legal business name

K & K HEALTHCARE SYSTEM, INC

Practice address

201 Eleanor CT
Stockbridge, GA 30281-9123

Phone

(678) 289-4254

Fax

(678) 289-4254

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Omolayo Catherine Akinbote, RN

Title

Administrator

Phone

(678) 289-4254

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1114166329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ELEANOR CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819123",
            "telephone_number": "678-289-4254",
            "fax_number": "678-289-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ELEANOR CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819123",
            "telephone_number": "678-289-4254",
            "fax_number": "678-289-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & K HEALTHCARE SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "AKINBOTE",
        "authorized_official_first_name": "OMOLAYO",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-289-4254",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "075R0014",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "075R0014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "755123874A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Stockbridge, GA
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.