Organization Active NPI

Koehn Home Care, Inc.

  • In Home Supportive Care Agency
  • Livingston, CA
National Provider Identifier
1760040505
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KOEHN HOME CARE, INC.
Practice address
834 Zelkova LN
Livingston, CA 95334-9691
Phone
(209) 602-5695
NPI assigned
Jun 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Jaylyn Koehn
Title
Owner
Phone
(209) 602-5695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

834 Zelkova LN
Livingston, CA 95334-9691

Mailing address

834 Zelkova LN
Livingston, CA 95334-9691
Phone (209) 602-5695

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1760040505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 ZELKOVA LN",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953349691",
            "telephone_number": "209-602-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 ZELKOVA LN",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953349691",
            "telephone_number": "209-602-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOEHN HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "KOEHN",
        "authorized_official_first_name": "JAYLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-602-5695"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.