Organization Active NPI

K Anb B Services, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Buckeye, AZ
National Provider Identifier
1518574292
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
K ANB B SERVICES, LLC
Practice address
23837 W Wayland Dr
Buckeye, AZ 85326-7020
Phone
(623) 337-2264
NPI assigned
Sep 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Barbara Gail Adams, LPN
Title
Owner
Phone
(623) 337-2264

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
Assisted Living Facility 310400000X
Assisted Living Facility (Behavioral Disturbances) 3104A0630X
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

23837 W Wayland Dr
Buckeye, AZ 85326-7020

Mailing address

51 E Monroe Ave Unit 1122
Buckeye, AZ 85326-7544
Phone (623) 337-2264

Other identifiers 1

IdentifierTypeStateIssuer
Q09202014291OtherAZDDD ARIZONA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kitabeene@kandbservices-sacredhavenhomes.com Direct

National Provider Directory

National Provider Directory

Locations

51 E Monroe Ave
Unit 1122
Buckeye, AZ 85326

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1518574292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E MONROE AVE UNIT 1122",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853267544",
            "telephone_number": "623-337-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23837 W WAYLAND DR",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853267020",
            "telephone_number": "623-337-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K ANB B SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-337-2264",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDD ARIZONA",
            "identifier": "Q09202014291",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kitabeene@kandbservices-sacredhavenhomes.com",
            "affiliation": "N",
            "endpointDescription": "kitabeene@kandbservices-sacredhavenhomes.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "23837 W Wayland Dr",
            "city": "Buckeye",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853267020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.