Active NPI
Ksy Home LLC
- Home Health Agency
- Windsor, CT
National Provider Identifier
1629487079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- KSY HOME LLC
- Practice address
- 340 Broad St
Suite 305
Windsor, CT 06095-3030 - Phone
- (860) 580-7151
- Fax
- (860) 580-7152
- NPI assigned
- Aug 11, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Karen Sandra Ricketts, RN
- Title
- President/Owner
- Phone
- (860) 580-7151
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Home Infusion Agency | 251F00000X | |||
| Nursing Care Agency | 251J00000X | E59052 | CT |
Addresses
Primary practice location
340 Broad St
Suite 305
Windsor, CT 06095-3030
Mailing address
340 Broad St
Suite 305
Windsor, CT 06095-3030
Phone (860) 580-7151
Other names 1
- KSY Services
National Provider Directory
National Provider DirectoryLocations
340 Broad St
Ste 305
Windsor, CT 06095
Phone (860) 580-7151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407715200000",
"number": "1629487079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 BROAD ST",
"address_2": "SUITE 305",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060953030",
"telephone_number": "860-580-7151",
"fax_number": "860-580-7152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 BROAD ST",
"address_2": "SUITE 305",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060953030",
"telephone_number": "860-580-7151",
"fax_number": "860-580-7152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KSY HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-11",
"last_updated": "2014-08-11",
"status": "A",
"authorized_official_last_name": "RICKETTS",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "SANDRA",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "860-580-7151",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "CT",
"license": "E59052",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KSY Services",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.