NHK Medical Staffing Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

NHK MEDICAL STAFFING SERVICES LLC

Practice address

6500 University Ave Suite 100-PMB 137
Windsor Heights, IA 50324-1607

Phone

(312) 385-9163

NPI assigned

Nov 17, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Kennedy Anthony Kilale

Title

Director

Phone

(312) 385-9163

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1699484790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 UNIVERSITY AVE SUITE 100-PMB 137",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241607",
            "telephone_number": "312-385-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 UNIVERSITY AVE SUITE 100-PMB 137",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241607",
            "telephone_number": "312-385-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NHK MEDICAL STAFFING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "KILALE",
        "authorized_official_first_name": "KENNEDY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-385-9163",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.