Organization Active NPI

KT Homes LLC

  • Assisted Living Facility
  • Maricopa, AZ
National Provider Identifier
1699524389
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on May 15, 2024

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.