Organization Active NPI

KJBL Home Care LLC

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1508781527
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KJBL HOME CARE LLC
Practice address
5994 Greenery View LN
Las Vegas, NV 89118-1314
Phone
(213) 804-5293
NPI assigned
Aug 11, 2026
Last updated
Aug 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Kennetta Lea
Title
Managing Member
Phone
(213) 804-5293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5994 Greenery View LN
Las Vegas, NV 89118-1314

Mailing address

5994 Greenery View LN
Las Vegas, NV 89118-1314
Phone (213) 804-5293

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1508781527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5994 GREENERY VIEW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181314",
            "telephone_number": "213-804-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5994 GREENERY VIEW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181314",
            "telephone_number": "213-804-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJBL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "LEA",
        "authorized_official_first_name": "KENNETTA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "213-804-5293"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.