Kappa Care LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KAPPA CARE LLC

Practice address

14253 W Aster Dr
Surprise, AZ 85379-5505

Phone

(205) 420-8155

NPI assigned

Apr 1, 2022

Organization subpart

No

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

Authorized official

Name

Jeremiah R JacksonNPI 1588315980

Title

Administrator

Phone

(205) 420-8155

Specialties & licenses 1

Addresses

Other names 1

• Kappa Care LLC Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremiah Rashad Jackson

  • Community/Behavioral Health Agency
  • Surprise, AZ
  • NPI 1588315980
  NPD Authorized official

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1215678552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14253 W ASTER DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795505",
            "telephone_number": "205-420-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14253 W ASTER DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795505",
            "telephone_number": "205-420-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPPA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-420-8155"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jeremiah.jacksonj@yahoo.com",
            "affiliation": "N",
            "address_1": "14253 W Aster Dr",
            "city": "Surprise",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kappa Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Young Kahn, M.D.
• Kandyse Kaizer
• Jahnavi Kalidindi
• Alyson Michelle Kambeitz
• Harvinder K. Kang, LPC
• Judy Anne Kappel, RN
• Kayla Marie Karelsen, OT
• Roshni Karki
• Linda Kassir, LCSW
• Paige Kassir, ND

• Community/Behavioral Health Agency in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.