Kandaka Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KANDAKA CARE, LLC

Practice address

3 Meadow Field CT
Simpsonville, SC 29681-8319

Phone

(864) 401-4287

NPI assigned

May 27, 2021

Organization subpart

No

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

Authorized official

Name

Ghada Khalid

Title

Owner

Phone

(864) 401-4287

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1811563232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEADOW FIELD CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296818319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEADOW FIELD CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296818319",
            "telephone_number": "864-401-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANDAKA CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "KHALID",
        "authorized_official_first_name": "GHADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-401-4287"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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