Organization Active NPI

KMKG, LLC

  • Home Health Agency
  • Bryan, TX
National Provider Identifier
1679834568
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KMKG, LLC
Practice address
708 W 26TH St
Bryan, TX 77803-2428
Phone
(979) 492-6448
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Kenya L Myers
Title
Executive Director
Phone
(832) 326-1976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

708 W 26TH St
Bryan, TX 77803-2428

Mailing address

708 W 26TH St
Bryan, TX 77803-2428
Phone (979) 492-6448

Other names 1

  • DJ HOME HEALTH 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": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1679834568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 W 26TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778032428",
            "telephone_number": "979-492-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 W 26TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778032428",
            "telephone_number": "979-492-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMKG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "KENYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "832-326-1976"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DJ HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.