K & K Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

2087696 Issued in NJ

Legal business name

K & K HOME CARE LLC

Practice address

216 Halladay St
Apt 4
Jersey City, NJ 07304-3300

Phone

(718) 930-4550

NPI assigned

Jan 5, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Karly Williams, LPN

Title

Owner

Phone

(718) 930-4550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1306381918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 HALLADAY ST",
            "address_2": "APT 4",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073043300",
            "telephone_number": "718-930-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 HALLADAY ST",
            "address_2": "APT 4",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073043300",
            "telephone_number": "718-930-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & K HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KARLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-930-4550",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NJ",
            "license": "2087696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.