Ktva Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KTVA HOME CARE, LLC

Practice address

1665 Lower Moncure Rd
Sanford, NC 27330

Phone

(919) 775-1192

Fax

(919) 770-0312

NPI assigned

Mar 17, 2020

Organization subpart

No

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

Authorized official

Name

Kathy Taylor

Title

Owner

Phone

(919) 343-8866

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1770119232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 BARNES ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304629",
            "telephone_number": "919-775-1192",
            "fax_number": "919-770-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 LOWER MONCURE RD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "27330",
            "telephone_number": "919-775-1192",
            "fax_number": "919-770-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTVA HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-343-8866"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Konopka, DPT
• Katherine Serafen Koonce, PA-C
• Leonard K Kovalick, PNP
• Erin Kraus
• KTV Alive
• Prabhat Kumar, M.D.
• KV Health Technologies
• Richard Teye Kwao, PAC
• L.J. Choices, Inc.
• Nicole Marie Lamancusa, MA, LCMHCA, NCC

• In Home Supportive Care Agency in Sanford, NC
• Providers in Sanford, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.