Community Konnection Dba Comfort Keepers

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COMMUNITY KONNECTION DBA COMFORT KEEPERS

Practice address

6708 Foothill Blvd., Suite 206
Tujunga, CA 91042

Phone

(818) 741-1991

Fax

(818) 741-1994

NPI assigned

Jun 7, 2016

Organization subpart

No

Name

Kimi Tallman James, RNC, MPT

Title

Owner/Director

Phone

(818) 741-1991

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2016.

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1114376589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6708 FOOTHILL BLVD., SUITE 206",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "91042",
            "telephone_number": "818-741-1991",
            "fax_number": "818-741-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6708 FOOTHILL BLVD., SUITE 206",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "91042",
            "telephone_number": "818-741-1991",
            "fax_number": "818-741-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY KONNECTION DBA COMFORT KEEPERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "TALLMAN JAMES",
        "authorized_official_first_name": "KIMI",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "818-741-1991",
        "authorized_official_credential": "RNC, MPT"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA HCSB--CERTIFIED HCO",
            "identifier": "194700012",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Tujunga, CA
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.