Active NPI
KDM's Services,Inc
- Home Health Agency
- Tamarac, FL
National Provider Identifier
1285869297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- KDM'S SERVICES,INC
- Practice address
- 6412 N University Dr
#114
Tamarac, FL 33321-4055 - Phone
- (954) 726-6722
- Fax
- (954) 726-6723
- NPI assigned
- May 19, 2009
- Last updated
- May 19, 2009
- 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. Keith Mullings
- Title
- Pesident
- Phone
- (954) 726-6722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6412 N University Dr
#114
Tamarac, FL 33321-4055
Mailing address
6412 N University Dr
#114
Tamarac, FL 33321-4055
Phone (954) 726-6722
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 688089496 | Medicaid | FL | |
| 688089498 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- KDM's Servicesinc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Tamarac, FL
- NPI 1134897606
Locations
6412 N University Dr
Ste 114
Tamarac, FL 33321
Phone (954) 726-6722
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- In Home Supportive Care Agency
- Tamarac, FL
- NPI 1841891025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242691200000",
"number": "1285869297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6412 N UNIVERSITY DR",
"address_2": "#114",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333214055",
"telephone_number": "954-726-6722",
"fax_number": "954-726-6723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6412 N UNIVERSITY DR",
"address_2": "#114",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333214055",
"telephone_number": "954-726-6722",
"fax_number": "954-726-6723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KDM'S SERVICES,INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-19",
"last_updated": "2009-05-19",
"status": "A",
"authorized_official_last_name": "MULLINGS",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "PESIDENT",
"authorized_official_telephone_number": "954-726-6722",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "688089496",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "688089498",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.