Organization Active NPI

KBCM & Support Broker Services

  • Case Management Agency
  • Gastonia, NC
National Provider Identifier
1720960818
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
KBCM & SUPPORT BROKER SERVICES
Practice address
631 E Garrison Blvd Ste C
Gastonia, NC 28054-4472
Phone
(704) 215-5469
Fax
(704) 396-6931
NPI assigned
Jul 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Ms. Kim Hannah
Title
Ceo
Phone
(803) 262-3464

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X
Case Management Agency 251B00000X Primary
Supports Brokerage Agency 251X00000X

Addresses

Primary practice location

631 E Garrison Blvd Ste C
Gastonia, NC 28054-4472

Mailing address

631 E Garrison Blvd Ste C
Gastonia, NC 28054-4472
Phone (704) 215-5469

Other names 1

  • KBCM & Support Broker Services Corp. Doing business as

National Provider Directory

National Provider Directory

Locations

631 E Garrison Blvd
Ste C
Gastonia, NC 28054
Phone (704) 215-5469

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1720960818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 E GARRISON BLVD STE C",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544472",
            "telephone_number": "704-215-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 E GARRISON BLVD STE C",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544472",
            "telephone_number": "704-215-5469",
            "fax_number": "704-396-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBCM & SUPPORT BROKER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "HANNAH",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-262-3464",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KBCM & Support Broker Services Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.