NPIMap

Organization Active NPI

Kevias Health Care LLC

Doing business as n/a

  • Home Health Aide
  • Lithonia, GA
National Provider Identifier
1710726153
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
KEVIAS HEALTH CARE LLC
Doing business as
n/a
Practice address
1952 Dillon Dr
Lithonia, GA 30058-2521
Phone
(678) 322-6943
NPI assigned
May 24, 2024
Organization subpart
Yes
Parent organization
KEVIASHEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Nikieta Bush
Title
Owner
Phone
(678) 322-6943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

1952 Dillon Dr
Lithonia, GA 30058-2521

Mailing address

1952 Dillon Dr
Lithonia, GA 30058-2521
Phone (678) 322-6943

Other names 2

  • n/a Doing business as
  • keviashealthcare Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Kevias Health Care LLC2 organizations share this tax ID, including this one
Part of
Kevias Health Care LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1710726153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 DILLON DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300582521",
            "telephone_number": "678-322-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 DILLON DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300582521",
            "telephone_number": "678-322-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIAS HEALTH CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEVIASHEALTHCARE",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "NIKIETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-322-6943"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "keviashealthcare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.