Kim Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KIM HOME CARE LLC

Practice address

128 Engle St
1St FL, Ste B
Englewood, NJ 07631-2576

Phone

(201) 835-5122

NPI assigned

Apr 4, 2024

Organization subpart

No

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

Authorized official

Name

Daniel Kim

Title

Owner/President

Phone

(201) 835-5122

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1750133450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 STEWART ST",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571928",
            "telephone_number": "201-835-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ENGLE ST",
            "address_2": "1ST FL, STE B",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312576",
            "telephone_number": "201-835-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "201-835-5122"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midhat Zafar Khan
• Muhammad Firdous Khan
• Juliana Khowong, MD
• Own Dumam Mohammad Khraisat, M.D.
• Vladimir Kilinsky, M.D.
• Brian Hangil Kim, M.D.
• Chee Gap Kim, MD
• Chrisselle Kim, AGNP-C
• David Youngjin Kim, MD
• Dongjin Kim, APN

• In Home Supportive Care Agency in Englewood, NJ
• Providers in Englewood, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.