Kocch Haven LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KOCCH HAVEN LLC

Practice address

6428 S 23Rd Ave
Phoenix, AZ 85041-5357

Phone

(832) 513-5993

NPI assigned

Aug 16, 2024

Organization subpart

No

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

Authorized official

Name

Chikodili C Uba, RNNPI 1811700180

Title

Member Manager

Phone

(832) 513-5993

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chikodili Catherine Uba

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Phoenix, AZ
  • NPI 1811700180
  NPD Authorized official

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1497587554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21289 S 187TH WAY",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851423668",
            "telephone_number": "832-513-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6428 S 23RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850415357",
            "telephone_number": "832-513-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOCCH HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "UBA",
        "authorized_official_first_name": "CHIKODILI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "832-513-5993",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emir Kobic
• Jenna Koblinski, MD
• Erika Lauren Kobziak
• John Jerome Koc III, D.C.
• Kocch Care LLC
• Justin Andrew Koceja, MD
• Joshua Daniel Koch, M.D.
• Robert Koch
• Candice M. Kochis
• Anna Louise Kock, RN

• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.