K&R Glowing Pride Residential Services of Nevada

Primary specialty

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

Legal business name

K&R GLOWING PRIDE RESIDENTIAL SERVICES OF NEVADA

Doing business as

K&R GLOWING PRIDE RESIDENTIAL SERVICES OF NEVADA
K&R Glowing Pride Residential Services

Practice address

301 E Carmel Dr Ste E5603W
Carmel, IN 46032-2888

Phone

(317) 517-7688

NPI assigned

Oct 30, 2023

Organization subpart

No

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

Authorized official

Name

Keyana L Rice

Title

Ceo

Phone

(317) 517-7688

Specialties & licenses 1

Addresses

Other names 2

• K&R GLOWING PRIDE RESIDENTIAL SERVICES OF NEVADA Doing business as
• K&R Glowing Pride Residential Services Doing business as

Locations

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1346012630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E CARMEL DR STE E5603W",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322888",
            "telephone_number": "317-517-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CARMEL DR STE E5603W",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322888",
            "telephone_number": "317-517-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&R GLOWING PRIDE RESIDENTIAL SERVICES OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "KEYANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-517-7688"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K&R GLOWING PRIDE RESIDENTIAL SERVICES OF NEVADA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "K&R Glowing Pride Residential Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Junger
• Laura Michelle Juntgen, D.M.D., MSD
• Justin M Gilmore DC PC
• Denis Jusufbegovic, M.D.
• K&R Glowing Pride Residential Services
• Rola Kaakeh, PHARMD, CFPH
• Kabafusion in, LLC
• Ellen Wayman Kaehr, M.D.
• Mark Matson Kaehr, MD
• Ramneek Kakar, PT, DPT

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Carmel, IN
• Providers in Carmel, IN by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.