NPIMap

Organization Active NPI

Kaleo Support, Inc.

  • In Home Supportive Care Agency
  • Ayden, NC
National Provider Identifier
1588027833
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KALEO SUPPORT, INC.
Practice address
4334 Nine Iron Dr
Ayden, NC 28513-5400
Phone
(910) 322-2755
Fax
(910) 339-2808
NPI assigned
Apr 4, 2016
Last updated
Nov 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Nancy Szymkowiak
Title
President
Phone
(910) 630-2255

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

4334 Nine Iron Dr
Ayden, NC 28513-5400

Mailing address

3718 Golfview Rd
Hope Mills, NC 28348-2818
Phone (910) 322-2755

Other identifiers 1

IdentifierTypeStateIssuer
3418487MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Kaleo Supports Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1588027833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 GOLFVIEW RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482818",
            "telephone_number": "910-322-2755",
            "fax_number": "910-339-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 NINE IRON DR",
            "city": "AYDEN",
            "state": "NC",
            "postal_code": "285135400",
            "telephone_number": "910-322-2755",
            "fax_number": "910-339-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEO SUPPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "SZYMKOWIAK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-630-2255"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418487",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ayden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.