Organization Active NPI

Keg Ventures Inc.

  • In Home Supportive Care Agency
  • Springfield, VA
National Provider Identifier
1194437186
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KEG VENTURES INC.
Practice address
6210 Apache St
Springfield, VA 22150-1520
Phone
(703) 843-6876
NPI assigned
Dec 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Kurt Gray
Title
Ceo
Phone
(703) 843-6876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6210 Apache St
Springfield, VA 22150-1520

Mailing address

3707 Celeste Bruce Cir
Bowie, MD 20721-2365
Phone (301) 642-8412

Other names 1

  • Seniors Helping Seniors Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1194437186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 CELESTE BRUCE CIR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212365",
            "telephone_number": "301-642-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 APACHE ST",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501520",
            "telephone_number": "703-843-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEG VENTURES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-843-6876"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seniors Helping Seniors",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seniors Helping Seniors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.