Organization Active NPI

Kemp Home Service Agency

  • Home Health Agency
  • Toledo, OH
National Provider Identifier
1407237241
Registry record updated Dec 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KEMP HOME SERVICE AGENCY
Practice address
5461 Southwyck Blvd Ste 1a
Toledo, OH 43614-1535
Phone
(567) 742-7322
Fax
(567) 742-7366
NPI assigned
Jun 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2019

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

Authorized official

Name
Tamika D Kemp
Title
Ceo/Owner
Phone
(567) 742-7322

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

5461 Southwyck Blvd Ste 1a
Toledo, OH 43614-1535

Mailing address

5461 Southwyck Blvd Ste 1a
Toledo, OH 43614-1535
Phone (567) 742-7322

Other identifiers 1

IdentifierTypeStateIssuer
2958858MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tdk0202@sbcglobal.net Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576281600000",
    "number": "1407237241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 SOUTHWYCK BLVD STE 1A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141535",
            "telephone_number": "567-742-7322",
            "fax_number": "567-742-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 SOUTHWYCK BLVD STE 1A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141535",
            "telephone_number": "567-742-7322",
            "fax_number": "567-742-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMP HOME SERVICE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "567-742-7322"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2958858",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdk0202@sbcglobal.net",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5461 Southwyck Blvd Ste 1A",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436141535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; 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.