Kisevi Residential Care Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KISEVI RESIDENTIAL CARE SERVICES, LLC

Practice address

7113 Firenza LN
Round Rock, TX 78665-2357

Phone

(240) 482-9572

NPI assigned

Nov 22, 2021

Organization subpart

No

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

Authorized official

Name

Ruth Kamga Fon

Title

Administrator

Phone

(240) 482-9572

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruth Kamga

  • Home Health Aide
  • Washington, DC
  • NPI 1407112717
  NPD

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1841957065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7113 FIRENZA LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652357",
            "telephone_number": "240-482-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7113 FIRENZA LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652357",
            "telephone_number": "240-482-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISEVI RESIDENTIAL CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "FON",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "KAMGA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-482-9572"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407112717",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Kinser, M.DIV-B.L., L.M.F.T.
• Benjamin Michael Kinsey
• Angela Kirby, PTA
• Heather Chelsey Brooke Kirk, RDH
• Tania Kirk, D.O.
• Brian Kistenmacher, DDS
• William Thomas Kittleman, M.D.
• Marjan Elaine Klaassen, DACHM
• Elizabeth Urquhart Kleinschmidt, OT, CLT
• Elizabeth Allen Klekman, DPT

• Home Health Agency in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.