Active NPI
KT Homes LLC
- Assisted Living Facility
- Maricopa, AZ
National Provider Identifier
1699524389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- KT HOMES LLC
- Doing business as
- KT Homes LLC
- Practice address
- 43176 W Elizabeth Ave
Maricopa, AZ 85138-5620 - Phone
- (414) 629-7061
- NPI assigned
- May 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tisha Anderson
- Title
- Owner
- Phone
- (414) 629-7061
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
43176 W Elizabeth Ave
Maricopa, AZ 85138-5620
Mailing address
43176 W Elizabeth Ave
Maricopa, AZ 85138-5620
Phone (414) 629-7061
Other names 1
- KT HOMES LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715731200000",
"number": "1699524389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43176 W ELIZABETH AVE",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851385620",
"telephone_number": "414-629-7061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43176 W ELIZABETH AVE",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851385620",
"telephone_number": "414-629-7061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KT HOMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-15",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "TISHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-629-7061"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KT HOMES LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Maricopa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.