Kidney Care at Home LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KIDNEY CARE AT HOME LLC

Practice address

1301 E McDowell Rd
Phoenix, AZ 85006-2621

Phone

(602) 962-0088

NPI assigned

Dec 21, 2020

Last updated

Dec 21, 2020By 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

Anna Manalo, FNP

Title

Owner

Phone

(602) 962-0088

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Roy Lee Evans Jr., NNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, AZ
  • NPI 1578583209
  NPD
• Arvind Kumar Gupta, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Mechanicsburg, PA
  • NPI 1891879979
  NPD

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1205423530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062621",
            "telephone_number": "602-962-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CARE AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "MANALO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-962-0088",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Kidd, BA, IBCLC
• Greg Kidd, PHARM.D
• Kennedy Victoria Kidd
• Tiffany Kidd, NP
• William H Kidd, M.D.
• Kids and Family Kare LLC
• Kids Connection Pediatrics
• Kids Dental , P.C. (Kids Dental Place)
• Kids Dental Spot PLLC
• Kids First Therapy Arizona PLLC

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.