Kinetic Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KINETIC HOME HEALTH, LLC

Practice address

4237 Salisbury Rd Ste 114
Jacksonville, FL 32216-0904

Phone

(904) 551-0329

Fax

(904) 352-2303

NPI assigned

Jun 19, 2012

Reactivated

Oct 21, 2015

Last updated

Feb 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lorraine Ann Hendricks

Title

Coo/Owner

Phone

(904) 551-0329

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1154684769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 SALISBURY RD STE 114",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160904",
            "telephone_number": "904-551-0329",
            "fax_number": "904-352-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4237 SALISBURY RD STE 114",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160904",
            "telephone_number": "904-551-0329",
            "fax_number": "904-352-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2019-02-18",
        "deactivation_date": "2015-09-21",
        "reactivation_date": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "COO/OWNER",
        "authorized_official_telephone_number": "904-551-0329"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adrian King
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• Alexia King
• Antoinette Denise King, OTA

• Home Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.