Kiam Care Services, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

KIAM CARE SERVICES, LLC

Practice address

20318 Bandera Lake LN
Richmond, TX 77407-1505

Phone

(713) 542-7748

NPI assigned

Sep 12, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Laquanita Shanel Shotomiwa

Title

RN Nurse

Phone

(713) 542-7748

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1154879831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20318 BANDERA LAKE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071505",
            "telephone_number": "713-542-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20318 BANDERA LAKE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071505",
            "telephone_number": "713-542-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIAM CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "SHOTOMIWA",
        "authorized_official_first_name": "LAQUANITA",
        "authorized_official_middle_name": "SHANEL",
        "authorized_official_title_or_position": "RN NURSE",
        "authorized_official_telephone_number": "713-542-7748",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Richmond, TX
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.