Kah Development 4, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KAH DEVELOPMENT 4, LLC

Doing business as

CenterWell Home Health

Practice address

409 W 4TH St
Brinkley, AR 72021-2113

Phone

(870) 527-2186

Fax

(870) 734-1163

NPI assigned

Jun 21, 2016

Last updated

Nov 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Nichols

Title

Authorized Official

Phone

(870) 527-2186

Specialties & licenses 1

Addresses

Other names 1

• CenterWell Home Health Doing business as

Locations

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1770933798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 SPRINT PKWY STE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W 4TH ST",
            "city": "BRINKLEY",
            "state": "AR",
            "postal_code": "720212113",
            "telephone_number": "870-527-2186",
            "fax_number": "870-734-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAH DEVELOPMENT 4, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "870-527-2186"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterWell Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Lashae James
• Billy Johnston
• Renee Jones, MD
• Joseph S. Barker DDS PA (Barker Family Dentistry)
• Joseph S. Barker DDS, PA.
• Clayton Jerome Knupp
• Marla Denise Lane
• Crystal Like, PTA
• Courtney B Manatt, APN
• Medi-Mart Pharmacy (Low's Pharmacy)

• Home Health Agency in Brinkley, AR
• Providers in Brinkley, AR by specialty
• Home Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.