K & K Assisted Living #2 LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

K & K ASSISTED LIVING #2 LLC

Practice address

12060 Indiana St
Detroit, MI 48204-1084

Phone

(313) 452-2310

NPI assigned

Jul 10, 2024

Last updated

Jul 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carolyn Bonner

Title

Executive Director

Phone

(313) 452-2310

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Milton Kennedy

  • Homemaker
  • Detroit, MI
  • NPI 1255845152
  NPD (past)

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1689411456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12060 INDIANA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482041084",
            "telephone_number": "313-452-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12060 INDIANA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482041084",
            "telephone_number": "313-452-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & K ASSISTED LIVING #2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-452-2310",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark S Juzych, MD, MHSA
• Bassam Jwaida, M.D.
• Dia Jwainat
• K & K Assisted Living #1 LLC
• K & K Assisted Living #2 LLC
• K & K Assisted Living, LLC
• K & R Cares
• K and K Assisted Living #1 LLC
• K C Home Care LLC
• K, D & B Adult Foster Care Home, LLC

• Home Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.