Active NPI
KC's Home Healthcare LLC
- Home Health Agency
- Phoenix, AZ
National Provider Identifier
1174576672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- KC'S HOME HEALTHCARE LLC
- Practice address
- 20612 N Cave Creek Rd # F151
Phoenix, AZ 85024-4440 - Phone
- (602) 283-4089
- Fax
- (602) 283-4498
- NPI assigned
- May 18, 2006
- 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
- Mr. Kerry Allen Halcomb, P.T.
- Title
- President/Ceo
- Phone
- (602) 283-4089
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | AZ | Primary |
Addresses
Primary practice location
20612 N Cave Creek Rd # F151
Phoenix, AZ 85024-4440
Mailing address
20612 N Cave Creek Rd # F151
Phoenix, AZ 85024-4440
Phone (602) 283-4089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 920795 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
500 W Savage St
#B
Wickenburg, AZ 85390
Phone (928) 468-5242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297987200000",
"number": "1174576672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20612 N CAVE CREEK RD # F151",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850244440",
"telephone_number": "602-283-4089",
"fax_number": "602-283-4498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20612 N CAVE CREEK RD # F151",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850244440",
"telephone_number": "602-283-4089",
"fax_number": "602-283-4498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KC'S HOME HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2011-02-18",
"status": "A",
"authorized_official_last_name": "HALCOMB",
"authorized_official_first_name": "KERRY",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "602-283-4089",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "920795",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.