K&Y Community Base Service

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

K&Y COMMUNITY BASE SERVICE

Practice address

2327 S San Jacinto Ave
San Jacinto, CA 92583-5313

Phone

(951) 763-7235

NPI assigned

Mar 18, 2018

Organization subpart

No

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

Authorized official

Name

Darryl Kent Palmer

Title

Owner

Phone

(951) 763-7235

Specialties & licenses 1

Addresses

Other names 1

• K&Y Community Base Service Doing business as

Locations

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521331200000",
    "number": "1497258206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 S SAN JACINTO AVE",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835313",
            "telephone_number": "951-763-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 S SAN JACINTO AVE",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835313",
            "telephone_number": "951-763-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&Y COMMUNITY BASE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-18",
        "last_updated": "2018-03-18",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-763-7235"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K&Y Community Base Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joycelynn Mariah Jones
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• Justin Namm Dental Corporation
• Michele Kamphuis, CADC, WTS
• Neil Katchman, D.O.
• Robert Carl Ketchum, CATC1
• Gene Kim, PHARMD
• Peter Keewahn Kim, DDS

• Adult Day Care Clinic/Center in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2018; 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.