Organization Active NPI

KC

  • Home Health Agency
  • Lauderdale Lakes, FL
National Provider Identifier
1558749895
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
193200000X Issued in FL
Legal business name
KC
Practice address
4890 NW 41St St
Lauderdale Lakes, FL 33319-4602
Phone
(561) 336-1265
NPI assigned
May 6, 2015
Last updated
May 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Mr. Kashan Ostane, M.D.
Title
Owner
Phone
(561) 336-1265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 193200000X FL Primary

Addresses

Primary practice location

4890 NW 41St St
Lauderdale Lakes, FL 33319-4602

Mailing address

4890 NW 41St St
Lauderdale Lakes, FL 33319-4602
Phone (561) 336-1265

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1558749895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4890 NW 41ST ST",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333194602",
            "telephone_number": "561-336-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4890 NW 41ST ST",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333194602",
            "telephone_number": "561-336-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "OSTANE",
        "authorized_official_first_name": "KASHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-336-1265",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "193200000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.