Organization Active NPI

KC Healthcare at Home

  • In Home Supportive Care Agency
  • Kansas City, MO
National Provider Identifier
1376355065
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KC HEALTHCARE AT HOME
Practice address
5775 NW 64TH Ter Ste 201
Kansas City, MO 64151-3980
Phone
(816) 800-8770
NPI assigned
Jan 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Nicole Kimball-MilesNPI 1831043264
Title
Owner
Phone
(816) 800-8770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5775 NW 64TH Ter Ste 201
Kansas City, MO 64151-3980

Mailing address

5775 NW 64TH Ter Ste 201
Kansas City, MO 64151-3980
Phone (816) 800-8770

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1376355065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 NW 64TH TER STE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641513980",
            "telephone_number": "816-800-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 NW 64TH TER STE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641513980",
            "telephone_number": "816-800-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC HEALTHCARE AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "KIMBALL-MILES",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-800-8770"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.