NPIMap

Organization Active NPI

Kaleo Supports, Inc.

Doing business as Phoenix Day Supports

  • In Home Supportive Care Agency
  • Spring Lake, NC
National Provider Identifier
1669100897
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KALEO SUPPORTS, INC.
Doing business as
Phoenix Day Supports
Practice address
152 Education Dr
Spring Lake, NC 28390-9804
Phone
(910) 630-2255
Fax
(910) 339-2808
NPI assigned
Aug 15, 2022
Last updated
Jun 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

152 Education Dr
Spring Lake, NC 28390-9804

Mailing address

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

Other names 1

  • Phoenix Day Supports Doing business as

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": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1669100897",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 EDUCATION DR",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283909804",
            "telephone_number": "910-630-2255",
            "fax_number": "910-339-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEO SUPPORTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "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": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Day Supports",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phoenix Day Supports",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Lake, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.