Active NPI
KC Home Care Inc
- Home Health Agency
- Pembroke Pines, FL
National Provider Identifier
1427396027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 008125800
- Legal business name
- KC HOME CARE INC
- Practice address
- 1900 N University Dr Ste 102
Pembroke Pines, FL 33024-3618 - Phone
- (954) 560-9766
- Fax
- (954) 323-2449
- NPI assigned
- Jan 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Curtis
- Title
- Manager
- Phone
- (954) 560-9766
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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Home Health Agency | 251E00000X | 008125800 | FL | Primary |
| Home Health Agency | 251E00000X | 006327300 | FL | |
| Nursing Care Agency | 251J00000X | |||
| Community/Behavioral Health Agency | 251S00000X | 3106432 | FL | |
| Community/Behavioral Health Agency | 251S00000X | 006327300 | FL | |
| In Home Supportive Care Agency | 253Z00000X | 008125800 | FL | |
| Health Maintenance Organization | 302R00000X | 008125800 | FL | |
| Health Maintenance Organization | 302R00000X | 006327300 | FL | |
| Custodial Care Facility | 311Z00000X | 008125800 | FL | |
| Custodial Care Facility | 311Z00000X | 006327300 | FL | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 006327300 | FL | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 008125800 | FL | |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | 006327300 | FL | |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | 008125800 | FL |
Addresses
Primary practice location
1900 N University Dr Ste 102
Pembroke Pines, FL 33024-3618
Mailing address
880 SW 190TH Ave
Pembroke Pines, FL 33029-6057
Phone (954) 560-9766
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008125800 | Medicaid | FL | |
| 006327300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1900 N University Dr
Ste 102
Pembroke Pines, FL 33024
Phone (954) 560-9766
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Pembroke Pines, FL
- NPI 1750629358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643673600000",
"number": "1427396027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 SW 190TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330296057",
"telephone_number": "954-560-9766",
"fax_number": "954-323-2449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 N UNIVERSITY DR STE 102",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330243618",
"telephone_number": "954-560-9766",
"fax_number": "954-323-2449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KC HOME CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-17",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A",
"authorized_official_last_name": "CURTIS",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "954-560-9766"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "008125800",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "006327300",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "3106432",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "006327300",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": "008125800",
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "FL",
"license": "008125800",
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "FL",
"license": "006327300",
"primary": false
},
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "FL",
"license": "008125800",
"primary": false
},
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "FL",
"license": "006327300",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "FL",
"license": "006327300",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "FL",
"license": "008125800",
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "FL",
"license": "006327300",
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "FL",
"license": "008125800",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008125800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006327300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.