KMK Home Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KMK HOME SERVICES

Practice address

16000 Pembroke Ave
Detroit, MI 48235-2352

Phone

(313) 595-5772

NPI assigned

Mar 26, 2024

Organization subpart

No

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

Authorized official

Name

Maci Wimbush

Title

Ceo

Phone

(313) 595-5772

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1245080795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 PEMBROKE AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 PEMBROKE AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352352",
            "telephone_number": "313-595-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMK HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "WIMBUSH",
        "authorized_official_first_name": "MACI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-595-5772"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kmak Hendrix & McNeeley PLLC
• David Chester Kmak, MD
• Valerie Anne Kmak, NURSE PRACTITIONER
• Natalie Kmet, DO
• Andrea Bell Kmiec, PA-C
• Alyssa Knaack
• Timothy P Knapman, M.D.
• Stephen Robert Knazik, DO
• Frank A Knechtl, DO
• Knewlife Outreach Ministries

• Home Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.