KCRG Homecare, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KCRG HOMECARE, INC.

Practice address

4501 W 90TH St
Prairie Village, KS 66207-2303

Phone

(913) 912-1260

Fax

(913) 912-1261

NPI assigned

Oct 23, 2015

Organization subpart

No

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

Authorized official

Name

Matthew Latham

Title

VP

Phone

(913) 912-1260

Specialties & licenses 1

Addresses

Other names 1

• Visiting Angels Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1679945109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 W 90TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072303",
            "telephone_number": "913-912-1260",
            "fax_number": "913-912-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 W 90TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072303",
            "telephone_number": "913-912-1260",
            "fax_number": "913-912-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCRG HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "LATHAM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "913-912-1260"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura E. Katzer Evrard
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• Leann Marie Keck, LMSW
• Chelsey Kaylan Keim
• Jessica Ellen Keller, PHD, RDN
• Mallory Diane Keller
• Kelli M. Regier-Hermon OD PA

• In Home Supportive Care Agency in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• In Home Supportive Care Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.