Organization Active NPI

KBK Home Health Services LLC

  • Home Health Agency
  • Memphis, TN
National Provider Identifier
1235599812
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
160000932 Issued in TN
Legal business name
KBK HOME HEALTH SERVICES LLC
Doing business as
Lakina Bouie
Practice address
5405 Fox Plaza Dr
Suite 108E
Memphis, TN 38115-1518
Phone
(504) 223-4969
NPI assigned
Feb 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Lakina Bouie
Title
Owner
Phone
(504) 223-4969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 160000932 TN Primary

Addresses

Primary practice location

5405 Fox Plaza Dr
Suite 108E
Memphis, TN 38115-1518

Mailing address

5405 Fox Plaza Dr
108E
Memphis, TN 38115-1518
Phone (504) 223-4969

Other names 1

  • Lakina Bouie Doing business as

National Provider Directory

National Provider Directory

Locations

5405 Fox Plaza Dr
Ste 108E
Memphis, TN 38115
Phone (504) 223-4969

5405 Fox Plaza Dr
#108E
Memphis, TN 38115

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1235599812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 FOX PLAZA DR",
            "address_2": "108E",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151518",
            "telephone_number": "504-223-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 FOX PLAZA DR",
            "address_2": "SUITE 108E",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151518",
            "telephone_number": "504-223-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBK HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "BOUIE",
        "authorized_official_first_name": "LAKINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-223-4969"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "160000932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakina Bouie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.