Organization Active NPI

KC Care, LLC

  • Home Health Agency
  • Puyallup, WA
National Provider Identifier
1831852219
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KC CARE, LLC
Practice address
120 15TH St SE Ste 202
Puyallup, WA 98372-3796
Phone
(253) 251-5050
Fax
(253) 251-5051
NPI assigned
Oct 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Katie Jones, RN, MSN
Title
Owner, Don
Phone
(253) 251-5050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X

Addresses

Primary practice location

120 15TH St SE Ste 202
Puyallup, WA 98372-3796

Mailing address

120 15TH St SE Ste 202
Puyallup, WA 98372-3796
Phone (253) 251-5050

Other names 1

  • BrightStar Care of Puyallup Doing business as

National Provider Directory

National Provider Directory

Locations

120 15th St SE
Ste 202
Puyallup, WA 98372
Phone (253) 251-5050

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1831852219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 15TH ST SE STE 202",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723796",
            "telephone_number": "253-251-5050",
            "fax_number": "253-251-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 15TH ST SE STE 202",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723796",
            "telephone_number": "253-251-5050",
            "fax_number": "253-251-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER, DON",
        "authorized_official_telephone_number": "253-251-5050",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Care of Puyallup",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

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