Organization Active NPI

KKC Home Care Services LLC

  • Community Based Hospice Care Agency
  • Philadelphia, PA
National Provider Identifier
1629831805
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
KKC HOME CARE SERVICES LLC
Doing business as
KKC HOME CARE SERVICES LLC
Practice address
1012 W Cheltenham Ave
Philadelphia, PA 19126-2314
Phone
(267) 703-3030
Fax
(267) 703-3031
NPI assigned
Jan 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Kevin D Nouch
Title
Ceo & Founder
Phone
(267) 703-3030

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary
In Home Supportive Care Agency 253Z00000X
Assisted Living Facility 310400000X

Addresses

Primary practice location

1012 W Cheltenham Ave
Philadelphia, PA 19126-2314

Mailing address

525 Emerson St
Philadelphia, PA 19111-1934
Phone (267) 703-3030

Other names 1

  • KKC HOME CARE SERVICES LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1629831805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 EMERSON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191111934",
            "telephone_number": "267-703-3030",
            "fax_number": "267-703-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 W CHELTENHAM AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191262314",
            "telephone_number": "267-703-3030",
            "fax_number": "267-703-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KKC HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "NOUCH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO & FOUNDER",
        "authorized_official_telephone_number": "267-703-3030"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KKC HOME CARE SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.