Organization Active NPI

Kih Advanced Kare, LLC

  • Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1861082901
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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

Updated by the provider on Sep 4, 2026

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)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210503001522 MS Part B Supplier - Clinic/Group Practice 8325457492 Receives reassigned benefits from 4 practitioners
Practice locations: Gulfport, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

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.

Verify at the official NPI Registry.