Active NPI
Kih Advanced Kare, LLC
- Nurse Practitioner
- Gulfport, MS
National Provider Identifier
1861082901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- KIH ADVANCED KARE, LLC
- Doing business as
- VitalCaring Group
- Practice address
- 4320 W Railroad St
Gulfport, MS 39501-2530 - Phone
- (228) 604-2155
- NPI assigned
- Jan 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chad Blalack
- Title
- Manager
- Phone
- (228) 861-4218
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | |||
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
4320 W Railroad St
Gulfport, MS 39501-2530
Mailing address
4320 W Railroad St
Gulfport, MS 39501-2530
Phone (228) 604-2155
Other names 1
- VitalCaring Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Wiggins, MS
- NPI 1891223186
-
- Family Nurse Practitioner
- Ocean Springs, MS
- NPI 1245726579
-
- Family Nurse Practitioner
- Diberville, MS
- NPI 1720483779
-
- Family Nurse Practitioner
- Gulfport, MS
- NPI 1396065694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788480000000",
"number": "1861082901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 W RAILROAD ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012530",
"telephone_number": "228-604-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 W RAILROAD ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012530",
"telephone_number": "228-604-2155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIH ADVANCED KARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-22",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A",
"authorized_official_last_name": "BLALACK",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "228-861-4218",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "VitalCaring Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.