Organization Active NPI

KMJ Healthcare Services LLC.

  • In Home Supportive Care Agency
  • Duluth, GA
National Provider Identifier
1407653892
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KMJ HEALTHCARE SERVICES LLC.
Practice address
3601 Amber TRL
Duluth, GA 30096-7532
Phone
(470) 478-0455
NPI assigned
Feb 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Kalala Musau Junior
Title
Administrator
Phone
(470) 478-0455

Specialties & licenses 1

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

Addresses

Primary practice location

3601 Amber TRL
Duluth, GA 30096-7532

Mailing address

3601 Amber TRL
Duluth, GA 30096-7532
Phone (470) 478-0455

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1407653892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 AMBER TRL",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300967532",
            "telephone_number": "470-478-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 AMBER TRL",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300967532",
            "telephone_number": "470-478-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMJ HEALTHCARE SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "MUSAU JUNIOR",
        "authorized_official_first_name": "KALALA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "470-478-0455"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.