Organization Active NPI

Kmi Care

  • In Home Supportive Care Agency
  • Glendale, AZ
National Provider Identifier
1487970513
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Apr 14, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
505388OtherAZAHCCCS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.