Organization Active NPI

KP Enterprises, Inc.

  • In Home Supportive Care Agency
  • Owatonna, MN
National Provider Identifier
1689421125
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KP ENTERPRISES, INC.
Doing business as
Visiting Angels
Practice address
577 State Ave Ste 3
Owatonna, MN 55060-2291
Phone
(507) 451-1124
NPI assigned
May 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Sampath Desilva
Title
Owner
Phone
(507) 451-1124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

577 State Ave Ste 3
Owatonna, MN 55060-2291

Mailing address

1507 17TH Dr SW
Austin, MN 55912-1395
Phone (507) 460-0050

Other names 1

  • Visiting Angels Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2081260Visiting Angels577 State Ave #3, Owatonna, MN 55060Certificate of waiverJul 21, 2026

National Provider Directory

National Provider Directory

Locations

577 State Ave
Ste 3
Owatonna, MN 55060
Phone (507) 451-1124

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1689421125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 17TH DR SW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559121395",
            "telephone_number": "507-460-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 STATE AVE STE 3",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602291",
            "telephone_number": "507-451-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KP ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "DESILVA",
        "authorized_official_first_name": "SAMPATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-451-1124"
    },
    "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"
        }
    ]
}

Other providers in Owatonna, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.