NPIMap

Organization Active NPI

Kenkwo Healthcare Inc

  • Nursing Care Agency
  • Alpharetta, GA
National Provider Identifier
1255878344
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
028-R-1664 Issued in GA
Legal business name
KENKWO HEALTHCARE INC
Doing business as
Kenkwo Homecare
Practice address
2300 Lakeview Pkwy
Suite 700
Alpharetta, GA 30009-9082
Phone
(770) 544-7477
Fax
(770) 544-7480
NPI assigned
Jan 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Clara NwokenkwoNPI 1366391229
Title
Administrator
Phone
(770) 544-7477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X 028-R-1664 GA
Nursing Care Agency 251J00000X 028-R-1664 GA Primary
In Home Supportive Care Agency 253Z00000X 028-R-1664 GA

Addresses

Primary practice location

2300 Lakeview Pkwy
Suite 700
Alpharetta, GA 30009-9082

Mailing address

220 Roxbury Cir
Alpharetta, GA 30004-2573
Phone (770) 544-7477

Other identifiers 1

IdentifierTypeStateIssuer
028-R-1664OtherGAGEORGIA DEPARTMENT OF COMMUNITY HEALTH

Other names 1

  • Kenkwo Homecare Doing business as

National Provider Directory

National Provider Directory

Locations

2300 Lakeview Pkwy
Ste 700
Alpharetta, GA 30009
Phone (678) 694-1744

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1255878344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ROXBURY CIR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300042573",
            "telephone_number": "770-544-7477",
            "fax_number": "770-544-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LAKEVIEW PKWY",
            "address_2": "SUITE 700",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300099082",
            "telephone_number": "770-544-7477",
            "fax_number": "770-544-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENKWO HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "NWOKENKWO",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-544-7477"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "GA",
            "license": "028-R-1664",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "028-R-1664",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "028-R-1664",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA DEPARTMENT OF COMMUNITY HEALTH",
            "identifier": "028-R-1664",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenkwo Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

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