KMJ Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KMJ CARE LLC

Doing business as

Independence Care at Home

Practice address

425 Technology Dr Ste 200
Malvern, PA 19355-1314

Phone

(484) 580-8157

NPI assigned

Nov 29, 2019

Last updated

Jul 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Mathis

Title

Managing Member

Phone

(484) 580-8157

Specialties & licenses 1

Addresses

Other names 1

• Independence Care at Home Doing business as

Electronic endpoints 2

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1841837622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 TECHNOLOGY DR STE 200",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 TECHNOLOGY DR STE 200",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551314",
            "telephone_number": "484-580-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMJ CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-29",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "484-580-8157"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "malvern",
            "affiliation": "Y",
            "affiliationName": "Sarahcare of Malvern",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "425 Technology Dr Ste 200",
            "city": "Malvern",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193551314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "malvern",
            "affiliation": "Y",
            "affiliationName": "Sarahcare of Malvern",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "425 Technology Dr Ste 200",
            "city": "Malvern",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193551314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Independence Care at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Malvern, PA
• Providers in Malvern, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.