Active NPI
KND Health Care Services SC
Doing business as Prime Care LTC
- Long Term Care Pharmacy
- Seneca, IL
National Provider Identifier
1245367994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- KND HEALTH CARE SERVICES SC
- Doing business as
- Prime Care LTC
- Practice address
- 260 B S Main Srteet
Seneca, IL 61360-0440 - Phone
- (815) 357-9898
- Fax
- (815) 357-6528
- NPI assigned
- Feb 28, 2007
- Last updated
- Aug 22, 2020
- 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
- Mr. Deepak T Dattani, R. PH
- Title
- Pharmacy Manager
- Phone
- (815) 357-9898
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | IL | Primary |
Addresses
Primary practice location
260 B S Main Srteet
Seneca, IL 61360-0440
Mailing address
260 B S Main Street
Seneca, IL 61360-0440
Phone (815) 357-9898
Other names 1
- Prime Care LTC
National Provider Directory
National Provider Directory- Tax ID family
- KND Health Care Services SC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Prime Care Pharmacy
- Long Term Care Pharmacy
- Bensenville, IL
- NPI 1528212479
Locations
260 S Main St
#B
Seneca, IL 61360
Phone (815) 357-9898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245367994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 B S MAIN STREET",
"city": "SENECA",
"state": "IL",
"postal_code": "613600440",
"telephone_number": "815-357-9898",
"fax_number": "815-357-6528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 B S MAIN SRTEET",
"city": "SENECA",
"state": "IL",
"postal_code": "613600440",
"telephone_number": "815-357-9898",
"fax_number": "815-357-6528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KND HEALTH CARE SERVICES SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DATTANI",
"authorized_official_first_name": "DEEPAK",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "815-357-9898",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R. PH"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Prime Care LTC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Seneca, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.