NPIMap

Organization Active NPI

Kims Extended Care Services of Northwest in.

  • In Home Supportive Care Agency
  • Crown Point, IN
National Provider Identifier
1568759280
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KIMS EXTENDED CARE SERVICES OF NORTHWEST IN.
Practice address
9358 Monroe CT Apt 613
Crown Point, IN 46307-6222
Phone
(219) 663-6426
Fax
(219) 663-6426
NPI assigned
Jul 1, 2011
Last updated
Jul 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Ms. Kimberliah Denise Woods I, CERTIFIED NURSING AS
Title
Ceo
Phone
(219) 663-6426

Specialties & licenses 1

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

Addresses

Primary practice location

9358 Monroe CT Apt 613
Crown Point, IN 46307-6222

Mailing address

9358 Monroe CT Apt 613
Crown Point, IN 46307-6222
Phone (219) 663-6426

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1568759280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9358 MONROE CT APT 613",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463076222",
            "telephone_number": "219-663-6426",
            "fax_number": "219-663-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9358 MONROE CT APT 613",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463076222",
            "telephone_number": "219-663-6426",
            "fax_number": "219-663-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMS EXTENDED CARE SERVICES OF NORTHWEST IN.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "KIMBERLIAH",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-663-6426",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "CERTIFIED NURSING AS"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.