Organization Active NPI

K.C. Home Health LLC

  • Home Health Agency
  • Lakeland, FL
National Provider Identifier
1285243105
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
K.C. HOME HEALTH LLC
Practice address
6635 S Florida Ave # C-1
Lakeland, FL 33813-3354
Phone
(813) 525-3878
NPI assigned
Jul 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Bernard O Spooner, RN
Title
Nurse Consultant
Phone
(813) 992-7867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6635 S Florida Ave # C-1
Lakeland, FL 33813-3354

Mailing address

6635 S Florida Ave # C-1
Lakeland, FL 33813-3354
Phone (813) 525-3878

National Provider Directory

National Provider Directory

Locations

6635 S Florida Ave
#C1
Lakeland, FL 33813
Phone (813) 525-3878

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1285243105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 S FLORIDA AVE # C-1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133354",
            "telephone_number": "813-525-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6635 S FLORIDA AVE # C-1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133354",
            "telephone_number": "813-525-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.C. HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "SPOONER",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "NURSE CONSULTANT",
        "authorized_official_telephone_number": "813-992-7867",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.