Organization Active NPI

Kali Haven Homecare LLC

  • In Home Supportive Care Agency
  • Rochester, NY
National Provider Identifier
1689423634
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KALI HAVEN HOMECARE LLC
Practice address
169 Greenleaf MDWS Apt a
Rochester, NY 14612-4330
Phone
(703) 762-6220
NPI assigned
May 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Emmanuel Osei Akoto, MD, MPH
Title
Chief Executive Owner
Phone
(703) 762-6220

Specialties & licenses 1

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

Addresses

Primary practice location

169 Greenleaf MDWS Apt a
Rochester, NY 14612-4330

Mailing address

169 Greenleaf MDWS Apt a
Rochester, NY 14612-4330
Phone (703) 762-6220

Other names 1

  • HARMONY HAVEN INDEPENDENT ASSISTANCE LIVING LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1689423634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 GREENLEAF MDWS APT A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146124330",
            "telephone_number": "703-762-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 GREENLEAF MDWS APT A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146124330",
            "telephone_number": "703-762-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALI HAVEN HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "AKOTO",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "OSEI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OWNER",
        "authorized_official_telephone_number": "703-762-6220",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmony Haven Independent Assistance Living LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HARMONY HAVEN INDEPENDENT ASSISTANCE LIVING LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.