NPIMap

Organization Active NPI

Kaleo Supports, Inc.

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1366845901
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KALEO SUPPORTS, INC.
Practice address
7336 Shillinglaw Cir
Fayetteville, NC 28314-6254
Phone
(910) 630-2255
Fax
(910) 339-2808
NPI assigned
Sep 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Nancy Szymkowiak
Title
President
Phone
(910) 630-2255

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7336 Shillinglaw Cir
Fayetteville, NC 28314-6254

Mailing address

3718 Golfview Rd
Hope Mills, NC 28348-2818
Phone (910) 322-2755

Other identifiers 1

IdentifierTypeStateIssuer
3418487MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Kaleo Supports Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1366845901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 GOLFVIEW RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482818",
            "telephone_number": "910-322-2755",
            "fax_number": "910-339-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7336 SHILLINGLAW CIR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283146254",
            "telephone_number": "910-630-2255",
            "fax_number": "910-339-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEO SUPPORTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "SZYMKOWIAK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-630-2255"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418487",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.