Organization Active NPI

K & D Home Health Care Corp

  • Home Health Agency
  • Plantation, FL
National Provider Identifier
1255370607
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992069 Issued in FL
Legal business name
K & D HOME HEALTH CARE CORP
Practice address
4330 W Broward Blvd
Suite O
Plantation, FL 33317-3775
Phone
(954) 583-7077
Fax
(954) 583-7099
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Miss Norma Fay Denton
Title
Administrator
Phone
(954) 583-7077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992069 FL Primary

Addresses

Primary practice location

4330 W Broward Blvd
Suite O
Plantation, FL 33317-3775

Mailing address

4330 W Broward Blvd
Suite O
Plantation, FL 33317-3775
Phone (954) 583-7077

Other identifiers 1

IdentifierTypeStateIssuer
651185600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060826000000 FL Part A Provider - Home Health Agency 6305872193 Practice locations: Lauderhill, FL

Home health agency certification: CCN 108375

Legal name
K&D HOME HEALTH CARE CORP
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 28, 2006
Last certification
Aug 2, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 15, 2004 in FL
Enrollment address
7471 W Oakland Park Blvd
Suite 109
Lauderhill, FL 33319-3775

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
K & D Home Health Care Corp.CCN 108375
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Nov 28, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1036814K & D Home Health Care Corp7471 W Oakland PK Blvd, Ste 109, Lauderhill, FL 33319Certificate of waiverFeb 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
KD Home Health Care Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

350 Camino Gardens Blvd
Ste 100
Boca Raton, FL 33432
Phone (561) 569-8010

4330 W Broward Blvd
Ste O
Plantation, FL 33317
Phone (786) 521-4206

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Norma Denton Individual 5% Or Greater Direct Ownership Interest Jan 24, 2006 100%
W-2 Managing Employee Jan 24, 2006

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1255370607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 W BROWARD BLVD",
            "address_2": "SUITE O",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173775",
            "telephone_number": "954-583-7077",
            "fax_number": "954-583-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 W BROWARD BLVD",
            "address_2": "SUITE O",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173775",
            "telephone_number": "954-583-7077",
            "fax_number": "954-583-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & D HOME HEALTH CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "FAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-583-7077",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651185600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.