Organization Active NPI

M & KH, LLC

  • Home Health Agency
  • Bryan, TX
National Provider Identifier
1417218314
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
M & KH, LLC
Doing business as
DJ PRIVATE DUTY
Practice address
4001 East 29TH Street Ste. 190
Bryan, TX 77802-4211
Phone
(979) 492-6448
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Kenya L Ford
Title
Executive Director
Phone
(832) 326-1976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4001 East 29TH Street Ste. 190
Bryan, TX 77802-4211

Mailing address

4001 East 29TH Street Ste. 190
Bryan, TX 77802-4211
Phone (979) 492-6448

Other names 1

  • DJ PRIVATE DUTY Doing business as

National Provider Directory

National Provider Directory

Locations

4001 E 29th St
Ste 190
Bryan, TX 77802
Phone (979) 492-6448

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1417218314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 EAST 29TH STREET STE. 190",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024211",
            "telephone_number": "979-492-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 EAST 29TH STREET STE. 190",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024211",
            "telephone_number": "979-492-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & KH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "KENYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "832-326-1976"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DJ PRIVATE DUTY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.