Kynncare Home & Community Based Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KYNNCARE HOME & COMMUNITY BASED SERVICES, INC.

Practice address

4351 Main St
Philadelphia, PA 19127-1470

Phone

(215) 207-8261

NPI assigned

Apr 8, 2020

Organization subpart

No

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

Authorized official

Name

Kimberly Allen

Title

Cfo

Phone

(215) 207-8261

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• KynnCare Home & Community Based Services, Inc. Other name

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1700405982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 MAIN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191271470",
            "telephone_number": "215-207-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 MAIN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191271470",
            "telephone_number": "215-207-8261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Delmar Ct",
            "address_purpose": "LOCATION",
            "city": "North Wales",
            "state": "PA",
            "postal_code": "194544508",
            "country_code": "US",
            "telephone_number": "215-207-8261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KYNNCARE HOME & COMMUNITY BASED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-207-8261"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA DEPT OF HEALTH HOME HEALTH LICENSE NUMBER",
            "identifier": "07910501",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103768905-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA DEPT OF HEALTH  HCA LICENSE NUMBER",
            "identifier": "47643601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KynnCare Home & Community Based Services, Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "KynnCare Home & Community Based Services, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andre Rashad Kydd, M.D., PH.D.
• Frederick Kyei
• Fred Kyem
• Kyle Schultz PSYD LLC
• Brianna Marie Kyncl, PHYSICIAN ASSISTANT
• Kyra Sjarif LLC
• Lisa S Kyriakatos, PA-C
• Ralph N Kyser III, LPC
• Melanie Sara Kzirian, MS
• L & a Home Care Services

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.