Organization Active NPI

K & J Enterprise

  • Assisted Living Facility
  • Randallstown, MD
National Provider Identifier
1679817530
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
K & J ENTERPRISE
Doing business as
K & J Medical supplier
Practice address
3501 Foxcliff CT
203
Randallstown, MD 21133-4927
Phone
(410) 419-0238
NPI assigned
Nov 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Kevin Bobo
Title
Ceo
Phone
(443) 469-4768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MD Primary

Addresses

Primary practice location

3501 Foxcliff CT
203
Randallstown, MD 21133-4927

Mailing address

3501 Foxcliff CT
203
Randallstown, MD 21133-4927
Phone (410) 419-0238

Other names 1

  • K & J Medical supplier 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": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1679817530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 FOXCLIFF CT",
            "address_2": "203",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334927",
            "telephone_number": "410-419-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 FOXCLIFF CT",
            "address_2": "203",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334927",
            "telephone_number": "410-419-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & J ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "BOBO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-469-4768"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K & J Medical supplier",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.