KPC Promise Hospital of Phoenix LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

KPC PROMISE HOSPITAL OF PHOENIX LLC

Practice address

433 E 6TH St
Mesa, AZ 85203-7104

Phone

(480) 427-3000

NPI assigned

Apr 30, 2019

Organization subpart

No

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

Authorized official

Name

William Thomas

Title

Secretary

Phone

(951) 987-8100

Specialties & licenses 1

Addresses

Tax ID family

Phoenix Specialty Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Phoenix Specialty Hospital

  • Rehabilitation Hospital Unit
  • Mesa, AZ
  • NPI 1144109950
  NPD tax ID
• Phoenix Specialty Hospital

  • Long Term Care Hospital
  • Mesa, AZ
  • NPI 1225871296
  NPD tax ID

Locations

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1770147118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N FEDERAL HWY STE 350",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322754",
            "telephone_number": "561-869-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 E 6TH ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037104",
            "telephone_number": "480-427-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPC PROMISE HOSPITAL OF PHOENIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "951-987-8100"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dixie Kozak, RN
• Amber M Kozlowski, P.T.
• Paulina Kozupa, DPT
• Kpa TWS Inc. (Interim HealthCare of Gilbert Az)
• Kpa TWS Inc. (Interim HealthCare of Gilbert AZ)
• Kraemer Medical Inc (Connell Foot Care)
• Paul Joseph Kraemer, PHARM.D.
• Theresa J Kraemer, PT, ATC
• Breanne Krakora, BCBA
• Sean Michael Kramer, D.O.

• Long Term Care Hospital in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Long Term Care Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.