Active NPI
KD Homecare
- In Home Supportive Care Agency
- East Brunswick, NJ
National Provider Identifier
1740986892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- KD HOMECARE
- Practice address
- 1 Tower Center Blvd Ste 1510-06
East Brunswick, NJ 08816-1145 - Phone
- (848) 283-7110
- NPI assigned
- Jan 31, 2023
- Last updated
- Nov 18, 2024
- 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
- Khadijatu Bangura, LPN
- Title
- Administrator
- Phone
- (908) 578-0049
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
1 Tower Center Blvd Ste 1510-06
East Brunswick, NJ 08816-1145
Mailing address
1 Tower Center Blvd Ste 1510-06
East Brunswick, NJ 08816-1145
National Provider Directory
National Provider DirectoryLocations
1 Tower Center Blvd
Ste 151006
East Brunswick, NJ 08816
Phone (848) 283-7110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731888000000",
"number": "1740986892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 TOWER CENTER BLVD STE 1510-06",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088161145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TOWER CENTER BLVD STE 1510-06",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088161145",
"telephone_number": "848-283-7110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KD HOMECARE",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-31",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A",
"authorized_official_last_name": "BANGURA",
"authorized_official_first_name": "KHADIJATU",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "908-578-0049",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.