Organization Active NPI

Kgbellos Residential Care, Inc.

  • Home Health Agency
  • Lewisville, TX
National Provider Identifier
1174823330
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
014332 Issued in TX
Legal business name
KGBELLOS RESIDENTIAL CARE, INC.
Practice address
2015 Vista Dr
Lewisville, TX 75067-7474
Phone
(214) 253-7486
Fax
(214) 488-5983
NPI assigned
Oct 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Mr. Onyekachi Okoro
Title
Administrator
Phone
(214) 253-7486

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 014332 TX Primary
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

2015 Vista Dr
Lewisville, TX 75067-7474

Mailing address

2015 Vista Dr
Lewisville, TX 75067-7474
Phone (214) 253-7486

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1174823330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 VISTA DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750677474",
            "telephone_number": "214-253-7486",
            "fax_number": "214-488-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 VISTA DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750677474",
            "telephone_number": "214-253-7486",
            "fax_number": "214-488-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KGBELLOS RESIDENTIAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "ONYEKACHI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-253-7486",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "014332",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.