Active NPI
KBCM & Support Broker Services
- Case Management Agency
- Gastonia, NC
National Provider Identifier
1720960818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 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.
National Provider Directory
National Provider DirectoryLocations
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.