KC'S Home Health Care LLC of Payson

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KC'S HOME HEALTH CARE LLC OF PAYSON

Practice address

114 E. Highway 260
Payson, AZ 85541

Phone

(192) 846-8524

Fax

(192) 846-8524

NPI assigned

Oct 16, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Kerry Allen Halcomb, PT

Title

Owner

Phone

(928) 468-5242

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1164775169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E. HIGHWAY 260",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "85541",
            "telephone_number": "192-846-8524",
            "fax_number": "192-846-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E. HIGHWAY 260",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "85541",
            "telephone_number": "192-846-8524",
            "fax_number": "192-846-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC'S HOME HEALTH CARE LLC OF PAYSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "HALCOMB",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "19284685242",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Bravo Dacanay MD PC
• Benjamin Patrick Johnson, MD
• Hudson S Johnston, DMD, MS
• Jason Lee Kang, M.D.
• Brianna Kathleen, LMT
• Cassidy Lee Kelton, MS CCC SLP
• Spencer Kirsteatter, DPT
• Kristin M Wade DMD PLLC
• Gilles Lachance, MD
• Lee a Woods LCSW PC

• Home Health Agency in Payson, AZ
• Providers in Payson, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.