Organization Active NPI

KC's Home Healthcare LLC

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1174576672
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Feb 18, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
920795MedicaidAZ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.