KMG Holdings, Inc.
Organization Active NPI Foster Care Agency · Middlesex, NC
NPI 1467579490 · NPPES record last updated Jun 8, 2023
Key facts
- NPI
- 1467579490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foster Care Agency 253J00000X
- Legal business name
- KMG HOLDINGS, INC.
- Practice address
- 10307 S. Oak St.
Suite C
Middlesex, NC 27557 - Phone
- (919) 795-4438
- Fax
- (919) 882-6311
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Kory Kale
- Title
- Ceo
- Phone
- (919) 795-4438
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- KMG Holdings Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | Yes | ||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | MHL-051114 | NC |
Addresses
Primary practice location
10307 S. Oak St.
Suite C
Middlesex, NC 27557
Mailing address
PO Box 24914
Raleigh, NC 27611
Phone (919) 795-4438
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6603214 | Medicaid | NC |
Other names
- The Lighthouse
Other providers in Middlesex, NC
- Maria Manuela Garcia Hawley
- Roger Heeren
- Homes2Any LLC
- KMG Holdings, Inc
- KMG Holdings, Inc.
- Lane and Associates XXXV DDS PA
- Log Cabin Counseling
- Latashia N McNeil
- Middlesex Pharmacy Inc
- Roma Mislankar
All providers in Middlesex, NC · Foster Care Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.