K & B Health Care Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

335537 Issued in MN

Legal business name

K & B HEALTH CARE INC

Practice address

1428 109TH Ave NW
Coon Rapids, MN 55433-4211

Phone

(763) 862-0169

Fax

(763) 862-0365

NPI assigned

Nov 15, 2007

Organization subpart

No

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

Authorized official

Name

Kolade Coker

Title

Program Administrator

Phone

(763) 862-0169

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1194906495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 109TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554334211",
            "telephone_number": "763-862-0169",
            "fax_number": "763-862-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 109TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554334211",
            "telephone_number": "763-862-0169",
            "fax_number": "763-862-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & B HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "KOLADE",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "763-862-0169"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MN",
            "license": "335537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Titus B Juyenneh
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• Health Service Clinic/Center in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Health Service Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.