NPIMap

Organization Active NPI

Koala T Care, Inc

  • In Home Supportive Care Agency
  • Advance, NC
National Provider Identifier
1295002848
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4381 Issued in NC
Legal business name
KOALA T CARE, INC
Practice address
141 Town Park Dr
Advance, NC 27006-8605
Phone
(336) 671-4901
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Mr. Dale Allan Karwowski
Title
Cfo and Secretary
Phone
(336) 671-4901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4381 NC Primary

Addresses

Primary practice location

141 Town Park Dr
Advance, NC 27006-8605

Mailing address

141 Town Park Dr
Advance, NC 27006-8605
Phone (336) 671-4901

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1295002848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 TOWN PARK DR",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270068605",
            "telephone_number": "336-671-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 TOWN PARK DR",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270068605",
            "telephone_number": "336-671-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOALA T CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "KARWOWSKI",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "CFO AND SECRETARY",
        "authorized_official_telephone_number": "336-671-4901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Advance, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.