Three K's Care Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

340738 Issued in MN

Legal business name

THREE K'S CARE SERVICES, INC.

Practice address

7601 36TH Ave N
Crystal, MN 55427-2014

Phone

(763) 546-1117

Fax

(763) 546-1118

NPI assigned

Jul 24, 2007

Last updated

Oct 27, 2008By 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

Queena Kotu Sloan, L.P.N.

Title

LPN/ Ceo

Phone

(763) 913-0325

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1184824534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 BASS LAKE RD",
            "address_2": "SUITE 101",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283860",
            "telephone_number": "763-544-3148",
            "fax_number": "763-544-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 36TH AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554272014",
            "telephone_number": "763-546-1117",
            "fax_number": "763-546-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE K'S CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "QUEENA",
        "authorized_official_middle_name": "KOTU",
        "authorized_official_title_or_position": "LPN/ CEO",
        "authorized_official_telephone_number": "763-913-0325",
        "authorized_official_credential": "L.P.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "340738",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "340724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.