NPIMap

Organization Active NPI

KLW & Friends, LLC

Doing business as Excel Complete Home Healthcare, Inc.

  • Home Health Agency
  • Victoria, TX
National Provider Identifier
1609254911
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010140 Issued in TX
Legal business name
KLW & FRIENDS, LLC
Doing business as
Excel Complete Home Healthcare, Inc.
Practice address
3804 John Stockbauer Dr
Suite E
Victoria, TX 77904-2448
Phone
(361) 575-4500
Fax
(361) 575-4502
NPI assigned
May 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Kelly L Webb
Title
Owner
Phone
(361) 575-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010140 TX Primary

Addresses

Primary practice location

3804 John Stockbauer Dr
Suite E
Victoria, TX 77904-2448

Mailing address

PO Box 4802
Victoria, TX 77903-4802
Phone (361) 575-4500

Other identifiers 2

IdentifierTypeStateIssuer
HH584HOtherTXBLUE CROSS BLUE SHIELD
677920MedicaidTX

Other names 1

  • EXCEL COMPLETE HOME HEALTHCARE, INC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
KLW Friends 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

3804 John Stockbauer Dr
Ste E
Victoria, TX 77904
Phone (361) 575-4500

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1609254911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4802",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779034802",
            "telephone_number": "361-575-4500",
            "fax_number": "361-575-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 JOHN STOCKBAUER DR",
            "address_2": "SUITE E",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042448",
            "telephone_number": "361-575-4500",
            "fax_number": "361-575-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLW & FRIENDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-575-4500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "HH584H",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "677920",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXCEL COMPLETE HOME HEALTHCARE, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.