KWD Enterprise Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

L-18-03755 Issued in AZ

Legal business name

KWD ENTERPRISE INC

Doing business as

Home Care Assistance of Green Valley

Practice address

1325 W Duval Mine Rd Ste 119
Green Valley, AZ 85614-5293

Phone

(520) 625-2050

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Keith W Davis

Title

President

Phone

(520) 625-2050

Specialties & licenses 1

Addresses

Other names 1

• Home Care Assistance of Green Valley Doing business as

Locations

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1457892168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 W DUVAL MINE RD STE 119",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856145293",
            "telephone_number": "520-625-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 W DUVAL MINE RD STE 119",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856145293",
            "telephone_number": "520-625-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWD ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-625-2050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": "L-18-03755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Care Assistance of Green Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Heidi Kiser, CNM
• Courtney Suzanne Klug, LMSW
• Kathryn Diana Kenton Kohler
• Krystle Aline Kraft, HAD
• Naveen Kumar, M.D.
• Sivamurthy Kyathari, M.D
• La Posada at Park Centre Inc
• La Posada at Park Centre Inc
• La Posada at Park Centre Inc (La Posada Outpatient Therapies)
• Luke Lamb, DDS

• In Home Supportive Care Agency in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.