Organization Active NPI

Kej Healthcare Inc

  • Home Health Agency
  • Raleigh, NC
National Provider Identifier
1760707269
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4050 Issued in NC
Legal business name
KEJ HEALTHCARE INC
Practice address
3041 Berks Way Ste 204
Raleigh, NC 27614-6777
Phone
(919) 435-1235
Fax
(919) 435-1239
NPI assigned
Mar 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Mrs. Kristina R Java
Title
Owner/VP
Phone
(919) 435-1235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC4050 NC Primary

Addresses

Primary practice location

3041 Berks Way Ste 204
Raleigh, NC 27614-6777

Mailing address

3041 Berks Way Ste 204
Raleigh, NC 27614-6777
Phone (919) 435-1235

Other names 1

  • BrightStar Raleigh Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1760707269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 BERKS WAY STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146777",
            "telephone_number": "919-435-1235",
            "fax_number": "919-435-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 BERKS WAY STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146777",
            "telephone_number": "919-435-1235",
            "fax_number": "919-435-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEJ HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "JAVA",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/VP",
        "authorized_official_telephone_number": "919-435-1235",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Raleigh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.