Active NPI
KMKG, LLC
- Home Health Agency
- Bryan, TX
National Provider Identifier
1679834568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.