Active NPI
K & J Enterprise
- Assisted Living Facility
- Randallstown, MD
National Provider Identifier
1679817530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.