NPIMap

Organization Active NPI

Khobcare, LLC

  • Home Health Agency
  • Fresno, CA
National Provider Identifier
1558025965
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KHOBCARE, LLC
Practice address
4922 E Yale Ave Ste 14
Fresno, CA 93727-1517
Phone
(559) 780-6646
NPI assigned
Oct 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Keola HarrisNPI 1457941262
Title
Owner
Phone
(559) 780-6646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

4922 E Yale Ave Ste 14
Fresno, CA 93727-1517

Mailing address

4922 E Yale Ave Ste 14
Fresno, CA 93727-1517
Phone (559) 780-6646

Other names 2

  • KHOBCARE Doing business as
  • KHOBCARE, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL KHOBCARE@GMAIL.COM Direct

National Provider Directory

National Provider Directory
Tax ID family
Khobcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4922 E Yale Ave
Ste 14
Fresno, CA 93727
Phone (559) 780-6646

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1558025965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 E YALE AVE STE 14",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271517",
            "telephone_number": "559-780-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 E YALE AVE STE 14",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271517",
            "telephone_number": "559-780-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHOBCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KEOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-780-6646"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KHOBCARE@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL",
            "address_1": "4922 E Yale Ave Ste 14",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937271517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KHOBCARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KHOBCARE, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.