Organization Active NPI

Kaiwell-Being, LLC

  • Home Health Agency
  • Conyers, GA
National Provider Identifier
1790544500
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KAIWELL-BEING, LLC
Practice address
1730 Deer Run Dr SW
Conyers, GA 30094-4702
Phone
(601) 365-9384
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Jacqueline Robinson
Title
Ceo
Phone
(601) 365-9384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1730 Deer Run Dr SW
Conyers, GA 30094-4702

Mailing address

1730 Deer Run Dr SW
Conyers, GA 30094-4702
Phone (601) 365-9384

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1790544500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 DEER RUN DR SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300944702",
            "telephone_number": "601-365-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 DEER RUN DR SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300944702",
            "telephone_number": "601-365-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIWELL-BEING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-365-9384"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.