Organization Active NPI

Kee to Independent Growth Inc

  • Voluntary or Charitable Agency
  • Ballston Spa, NY
National Provider Identifier
1811325368
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
KEE TO INDEPENDENT GROWTH INC
Practice address
40 Church Ave
Ballston Spa, NY 12020-1903
Phone
(518) 309-3557
Fax
(518) 309-3558
NPI assigned
Oct 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Authorized official

Name
Mrs. Karen Le'Que, BS, LPN
Title
President, E.D.
Phone
(518) 309-3557

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NY
Voluntary or Charitable Agency 251V00000X NY Primary
Alzheimer Center (Dementia Center) 311500000X NY
Custodial Care Facility 311Z00000X NY

Addresses

Primary practice location

40 Church Ave
Ballston Spa, NY 12020-1903

Mailing address

PO Box 243
Ballston Spa, NY 12020
Phone (518) 309-3557

Other identifiers 3

IdentifierTypeStateIssuer
02949544MedicaidNY
02950470MedicaidNY
02991477MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1811325368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 243",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-309-3557",
            "fax_number": "518-309-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CHURCH AVE",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120201903",
            "telephone_number": "518-309-3557",
            "fax_number": "518-309-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEE TO INDEPENDENT GROWTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "LE'QUE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT, E.D.",
        "authorized_official_telephone_number": "518-309-3557",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS, LPN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02949544",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02950470",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02991477",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Spa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.