Organization Active NPI

KBG Supports & Services LLC,

  • Case Management Agency
  • Ocala, FL
National Provider Identifier
1649923541
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
KBG SUPPORTS & SERVICES LLC,
Doing business as
KBG Supports & Services LLC,
Practice address
3003 SW 168TH Loop
Ocala, FL 34473-4128
Phone
(352) 653-9488
Fax
(352) 307-2841
NPI assigned
Jan 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Ms. Juneann Isaacs-BenjaminNPI 1063143600
Title
Treasurer & Ambr
Phone
(352) 653-9488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3003 SW 168TH Loop
Ocala, FL 34473-4128

Mailing address

3003 SW 168TH Loop
Ocala, FL 34473-4128
Phone (352) 653-9488

Other names 1

  • KBG Supports & Services LLC, Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1649923541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 SW 168TH LOOP",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344734128",
            "telephone_number": "352-653-9488",
            "fax_number": "352-307-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 SW 168TH LOOP",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344734128",
            "telephone_number": "352-653-9488",
            "fax_number": "352-307-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBG SUPPORTS & SERVICES LLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "ISAACS-BENJAMIN",
        "authorized_official_first_name": "JUNEANN",
        "authorized_official_title_or_position": "TREASURER & AMBR",
        "authorized_official_telephone_number": "352-653-9488",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KBG Supports & Services LLC,",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.