Organization Active NPI

KB&K Homecare Agency LLC

  • Home Health Agency
  • Augusta, GA
National Provider Identifier
1205438447
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KB&K HOMECARE AGENCY LLC
Practice address
901 Greene St
Augusta, GA 30901-2231
Phone
(706) 284-9967
NPI assigned
Nov 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Besem Tabe
Title
Owner
Phone
(478) 318-4145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

901 Greene St
Augusta, GA 30901-2231

Mailing address

901 Greene St
Augusta, GA 30901-2231

National Provider Directory

National Provider Directory

Locations

901 Greene St
Augusta, GA 30901
Phone (706) 284-9967

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1205438447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 GREENE ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 GREENE ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012231",
            "telephone_number": "706-284-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB&K HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "TABE",
        "authorized_official_first_name": "BESEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-318-4145"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.