TK Home Karing Service

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TK HOME KARING SERVICE

Practice address

209 Croll CT Apt 125
Chattanooga, TN 37410-1017

Phone

(423) 432-9401

NPI assigned

Sep 18, 2018

Last updated

Sep 21, 2018By 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

Mrs. Kiesha Hazelray

Title

Provider/Cna

Phone

(423) 432-9401

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1346724143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80232",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374147232",
            "telephone_number": "440-895-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CROLL CT APT 125",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374101017",
            "telephone_number": "423-432-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TK HOME KARING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "HAZELRAY",
        "authorized_official_first_name": "KIESHA",
        "authorized_official_title_or_position": "PROVIDER/CNA",
        "authorized_official_telephone_number": "423-432-9401",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "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 Sep 21, 2018; 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.