Individual provider Active NPI

Sam Kwei

  • Adult Care Home Facility
  • Kalamazoo, MI
National Provider Identifier
1831655505
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Practice address
207 Allen Blvd
Kalamazoo, MI 49007-3704
Phone
(269) 203-6030
NPI assigned
Feb 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary
Foster Care Agency 253J00000X MI

Addresses

Primary practice location

207 Allen Blvd
Kalamazoo, MI 49007-3704

Mailing address

2234 N 10TH St
Kalamazoo, MI 49009-9158

Other practice location 1

214 Allen Blvd
Kalamazoo, MI 49007-3705
Phone (269) 203-6030

Other practice location 2

1205 Woodward Ave
Kalamazoo, MI 49007-2316
Phone (269) 203-6030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1831655505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 N 10TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 ALLEN BLVD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073704",
            "telephone_number": "269-203-6030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Allen Blvd",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490073705",
            "country_code": "US",
            "telephone_number": "269-203-6030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1205 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490072316",
            "country_code": "US",
            "telephone_number": "269-203-6030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWEI",
        "first_name": "SAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.