Active NPI
KKG Senior Care, LLC
- In Home Supportive Care Agency
- Boerne, TX
National Provider Identifier
1144512039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 009724
- Legal business name
- KKG SENIOR CARE, LLC
- Practice address
- 121 Lohmann St
Boerne, TX 78006-2029 - Phone
- (830) 249-4988
- NPI assigned
- May 10, 2011
- Last updated
- May 10, 2011
- 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
- Ms. Julie Galvan
- Title
- Owner
- Phone
- (830) 249-4988
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 009724 | TX | Primary |
Addresses
Primary practice location
121 Lohmann St
Boerne, TX 78006-2029
Mailing address
PO Box 895
Boerne, TX 78006-0895
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304985600000",
"number": "1144512039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 895",
"city": "BOERNE",
"state": "TX",
"postal_code": "780060895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 LOHMANN ST",
"city": "BOERNE",
"state": "TX",
"postal_code": "780062029",
"telephone_number": "830-249-4988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KKG SENIOR CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-10",
"last_updated": "2011-05-10",
"status": "A",
"authorized_official_last_name": "GALVAN",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "830-249-4988",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "TX",
"license": "009724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.