Active NPI
Kmi Care
- In Home Supportive Care Agency
- Glendale, AZ
National Provider Identifier
1487970513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- KMI CARE
- Practice address
- 6630 W Tonopah Dr
Glendale, AZ 85308-6626 - Phone
- (623) 561-1144
- Fax
- (623) 561-0662
- NPI assigned
- Apr 14, 2010
- 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
- Joseph Montagna, M.A
- Title
- Co-Owner
- Phone
- (623) 561-1144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
6630 W Tonopah Dr
Glendale, AZ 85308-6626
Mailing address
20280 N 59TH Ave
Ste 115-439
Glendale, AZ 85308-6850
Phone (623) 561-1144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 505388 | Other | AZ | AHCCCS |
National Provider Directory
National Provider DirectoryLocations
20280 N 59th Ave
Ste 115439
Glendale, AZ 85308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271203200000",
"number": "1487970513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20280 N 59TH AVE",
"address_2": "STE 115-439",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086850",
"telephone_number": "623-561-1144",
"fax_number": "623-561-0662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6630 W TONOPAH DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086626",
"telephone_number": "623-561-1144",
"fax_number": "623-561-0662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KMI CARE",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-14",
"last_updated": "2010-04-14",
"status": "A",
"authorized_official_last_name": "MONTAGNA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "623-561-1144",
"authorized_official_credential": "M.A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "505388",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.