Kraunsta Family Healthcare LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KRAUNSTA FAMILY HEALTHCARE LLC

Practice address

5908 Columbia Ave
Hammond, IN 46320-2610

Phone

(219) 937-7053

Fax

(219) 937-7053

NPI assigned

Oct 4, 2018

Organization subpart

No

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

Authorized official

Name

Chijioke Jimonu, NP

Title

Administrator

Phone

(708) 275-1369

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1811462989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 COLUMBIA AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463202610",
            "telephone_number": "219-937-7053",
            "fax_number": "219-937-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 COLUMBIA AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463202610",
            "telephone_number": "219-937-7053",
            "fax_number": "219-937-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAUNSTA FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "JIMONU",
        "authorized_official_first_name": "CHIJIOKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-275-1369",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph W Knight, DO
• Joseph Robert Kolanko, D.C.
• Karen Kolodziej
• Carly Renee Kowalski
• Martha Socorro Kozub, APN
• Marla Krukowski, DO
• Dara Rae Kubiak, RDH,PHDH
• Victoria Kubin
• Labcorp Oklahoma, Inc.
• Cesar Mikels Labitan Jr., MD

• Primary Care Clinic/Center in Hammond, IN
• Providers in Hammond, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.