Kam Quality Home Care, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

302R00000X Issued in MO

Legal business name

KAM QUALITY HOME CARE, LLC

Practice address

5110 Midday Dr
Black Jack, MO 63033-8521

Phone

(314) 741-9981

Fax

(314) 741-9982

NPI assigned

Dec 3, 2013

Last updated

Dec 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Marilyn Denise HubbardNPI 1588094676

Title

Ceo/Owner

Phone

(314) 741-9981

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marilyn Hubbard

  • Chore Provider
  • Black Jack, MO
  • NPI 1588094676
  NPD (past) Authorized official

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1184055022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 MIDDAY DR",
            "city": "BLACK JACK",
            "state": "MO",
            "postal_code": "630338521",
            "telephone_number": "314-741-9981",
            "fax_number": "314-741-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 MIDDAY DR",
            "city": "BLACK JACK",
            "state": "MO",
            "postal_code": "630338521",
            "telephone_number": "314-741-9981",
            "fax_number": "314-741-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAM QUALITY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "314-741-9981",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MO",
            "license": "302R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Black Jack, MO
• Providers in Black Jack, MO by specialty
• Health Maintenance Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.