Kiarad Enterprises Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

KIARAD ENTERPRISES SERVICES LLC

Practice address

3994 Edenburg Dr
Memphis, TN 38127-4112

Phone

(901) 730-0368

Fax

(901) 531-8398

NPI assigned

Jun 20, 2019

Organization subpart

No

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

Authorized official

Name

Brian O Johnson

Title

President/Owner

Phone

(901) 730-0368

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1285294306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3554 CARNEY ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381275032",
            "telephone_number": "901-730-0368",
            "fax_number": "901-531-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3994 EDENBURG DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381274112",
            "telephone_number": "901-730-0368",
            "fax_number": "901-531-8398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8434 Woodmannor Cove",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "38016",
            "country_code": "US",
            "telephone_number": "901-730-0368",
            "fax_number": "901-531-8398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIARAD ENTERPRISES SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "901-730-0368"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "accountsmanagement@tnturfdrs.com",
            "affiliation": "N",
            "address_1": "3554 Carney St",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381275032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "staffing@kesrvc.com",
            "affiliation": "N",
            "address_1": "3554 Carney St",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381275032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Radwan R Khuri, MD
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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Memphis, TN
• Providers in Memphis, TN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.