Kinkade Cares, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

15-2253 Issued in OR

Legal business name

KINKADE CARES, INC.

Doing business as

Right at Home Southern Oregon

Practice address

749 Golf View Dr
Suite B
Medford, OR 97504-9654

Phone

(541) 414-0800

Fax

(541) 414-0802

NPI assigned

May 25, 2016

Last updated

May 25, 2016By 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

Ms. Brooke Fredericks

Title

President

Phone

(541) 414-0800

Specialties & licenses 1

Addresses

Other names 1

• Right at Home Southern Oregon Doing business as

Locations

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1205284718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 GOLF VIEW DR",
            "address_2": "SUITE B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049654",
            "telephone_number": "541-414-0800",
            "fax_number": "541-414-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 GOLF VIEW DR",
            "address_2": "SUITE B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049654",
            "telephone_number": "541-414-0800",
            "fax_number": "541-414-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINKADE CARES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "FREDERICKS",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-414-0800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right at Home Southern Oregon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmyne King, QMHP
• Jeremy Richard King, DMD
• Julie Ann King, MD
• Karen Sue King
• Audrie Kingzett, CPM, LDEM
• Kelly Ann Kinkey
• Kimberly Sue Kinnan-Bravo, QMHA
• Gail Kinsey
• Thomas A Kinsley, MD
• Ashley Kinzel

• In Home Supportive Care Agency in Medford, OR
• Providers in Medford, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.