Kesi Care Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

KESI CARE SERVICES LLC

Practice address

1909 Leaders LN
Leander, TX 78641-3142

Phone

(512) 269-5633

NPI assigned

Dec 6, 2023

Last updated

Jan 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter James Magombo

Title

Manager/Owner

Phone

(512) 269-5633

Specialties & licenses 2

Addresses

Other names 1

• Konse Konse LLC Other name

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1326815770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 LEADERS LN # A",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413142",
            "telephone_number": "512-269-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 LEADERS LN",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413142",
            "telephone_number": "512-269-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESI CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "MAGOMBO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "512-269-5633"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Konse Konse LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Konse Konse LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Farrah Khoja, O.D.
• Molly Kidd, ATC, LAT
• May Song Kiker, NP
• Debbie Kim
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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Leander, TX
• Providers in Leander, TX by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.