NPIMap

Organization Active NPI

K & K Assisted Living #1 LLC

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1386477156
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
K & K ASSISTED LIVING #1 LLC
Practice address
12052 Indiana St
Detroit, MI 48204-1084
Phone
(313) 231-3604
NPI assigned
Aug 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Mrs. Geneva Kennedy
Title
Managing Member
Phone
(313) 231-3604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12052 Indiana St
Detroit, MI 48204-1084

Mailing address

12052 Indiana St
Detroit, MI 48204-1084
Phone (313) 231-3604

National Provider Directory

National Provider Directory
Tax ID family
K and K Assisted Living 1 LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1386477156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12052 INDIANA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482041084",
            "telephone_number": "313-231-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12052 INDIANA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482041084",
            "telephone_number": "313-231-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & K ASSISTED LIVING #1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "GENEVA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "313-231-3604",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.