Organization Active NPI

KNK Care LLC

  • In Home Supportive Care Agency
  • Goodyear, AZ
National Provider Identifier
1811775919
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KNK CARE LLC
Practice address
15545 W Hudson St Unit 177
Goodyear, AZ 85338-1638
Phone
(480) 793-3894
NPI assigned
Sep 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Mr. Brice L Conner
Title
Owner
Phone
(480) 910-6137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

15545 W Hudson St Unit 177
Goodyear, AZ 85338-1638

Mailing address

15545 W Hudson St Unit 177
Goodyear, AZ 85338-1638
Phone (480) 910-6137

Other names 1

  • KNK CARE Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1811775919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15545 W HUDSON ST UNIT 177",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381638",
            "telephone_number": "480-910-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15545 W HUDSON ST UNIT 177",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381638",
            "telephone_number": "480-793-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNK CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "BRICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-910-6137",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KNK CARE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.