Kasamba Family Home Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

KASAMBA FAMILY HOME CARE LLC

Practice address

1062 62ND St
West Des Moines, IA 50266-2326

Phone

(515) 554-0948

NPI assigned

Jul 8, 2024

Last updated

Jul 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sophia Albino Deng

Title

Owner

Phone

(515) 554-0948

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1508602624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 62ND ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662326",
            "telephone_number": "515-554-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 62ND ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662326",
            "telephone_number": "515-554-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASAMBA FAMILY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "DENG",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "ALBINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-554-0948"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.