KDC Home Health Care Services Corp

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KDC HOME HEALTH CARE SERVICES CORP

Practice address

13260 N 94TH Dr Ste 104
Peoria, AZ 85381-4259

Phone

(602) 830-3003

Fax

(602) 830-1347

NPI assigned

Mar 2, 2022

Organization subpart

No

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

Authorized official

Name

Griselda Kovrig

Title

Owner/President

Phone

(602) 830-3003

Specialties & licenses 2

Addresses

Other names 1

• Interim HealthCare of Peoria AZ Doing business as

Tax ID family

Interim Healthcare of Peoria Az2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• KDC Home Health Care Services Corp

  • Home Health Agency
  • Peoria, AZ
  • NPI 1912743485
  NPD tax ID

Locations

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1487301115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13260 N 94TH DR STE 104",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814259",
            "telephone_number": "602-830-3003",
            "fax_number": "602-830-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13260 N 94TH DR STE 104",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814259",
            "telephone_number": "602-830-3003",
            "fax_number": "602-830-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDC HOME HEALTH CARE SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "KOVRIG",
        "authorized_official_first_name": "GRISELDA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "602-830-3003"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare of Peoria AZ",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim HealthCare of Peoria AZ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loveleen Kaur
• Hailey Kaus
• Courtney Ann Kawasaki, PHARMD
• Emelia Kay, PA
• Steven Kaye, PT
• KDC Home Health Care Services Corp
• Elizabeth Kealamakia, RN
• Pamela Keane, R.D.H.
• Andrea Eileen Keefer, RDH
• Mikaela Keene

• In Home Supportive Care Agency in Peoria, AZ
• Providers in Peoria, 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 Oct 3, 2024; 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.