Active NPI
KJK Serviceand Support LLC
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
National Provider Identifier
1245022474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- KJK SERVICEAND SUPPORT LLC
- Practice address
- 8770 Guion Rd Ste G
Indianapolis, IN 46268-3017 - Phone
- (866) 886-2009
- Fax
- (317) 614-7988
- NPI assigned
- May 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grant Klinedinst, ATP
- Title
- Ceo
- Phone
- (866) 886-2009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
8770 Guion Rd Ste G
Indianapolis, IN 46268-3017
Mailing address
8770 Guion Rd Ste G
Indianapolis, IN 46268-3017
Phone (866) 886-2009
Other names 2
- KJK Service
- KJK Services LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260520003705 | IN | DME Supplier - Medical Supply Company | 4385113190 | Practice locations: Indianapolis, IN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| KJK Serviceand Support LLC | Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheel… | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- KJK Service
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Midway, KY
- NPI 1245189240
Locations
8770 Guion Rd
Ste G
Indianapolis, IN 46268
Phone (317) 829-0550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747872000000",
"number": "1245022474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8770 GUION RD STE G",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683017",
"telephone_number": "866-886-2009",
"fax_number": "317-614-7988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8770 GUION RD STE G",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683017",
"telephone_number": "866-886-2009",
"fax_number": "317-614-7988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KJK SERVICEAND SUPPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-22",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A",
"authorized_official_last_name": "KLINEDINST",
"authorized_official_first_name": "GRANT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "866-886-2009",
"authorized_official_credential": "ATP"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KJK Service",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "KJK Services LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.