Organization Active NPI

Kla Medical Services, Inc.

  • Home Health Agency
  • Columbus, GA
National Provider Identifier
1730257437
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
106R0014 Issued in GA
Legal business name
KLA MEDICAL SERVICES, INC.
Practice address
1214 Wildwood Ave
Columbus, GA 31906-2538
Phone
(706) 320-0230
Fax
(706) 221-7136
NPI assigned
Dec 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lynn Watson, MANAGER
Title
Manager
Phone
(706) 320-0230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 106R0014 GA Primary

Addresses

Primary practice location

1214 Wildwood Ave
Columbus, GA 31906-2538

Mailing address

1214 Wildwood Ave
Columbus, GA 31906-2538
Phone (706) 320-0230

Other identifiers 1

IdentifierTypeStateIssuer
00902052AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Kla Medical Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730257437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 WILDWOOD AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062538",
            "telephone_number": "706-320-0230",
            "fax_number": "706-221-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 WILDWOOD AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062538",
            "telephone_number": "706-320-0230",
            "fax_number": "706-221-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLA MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "706-320-0230",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "106R0014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00902052A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.