NPIMap

Organization Active NPI

K & M Private Care

  • In Home Supportive Care Agency
  • Spring City, TN
National Provider Identifier
1861622995
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
I438-087-9138 Issued in TN
Legal business name
K & M PRIVATE CARE
Practice address
301 Keith Dr
Spring City, TN 37381-5380
Phone
(423) 285-5246
Fax
(423) 285-5337
NPI assigned
Jul 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Mrs. Kimberly Ellen Goins-Hughes, ADMINISTRATOR,PSSA
Title
Owner/Administrator
Phone
(423) 285-5246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X I438-087-9138 TN Primary

Addresses

Primary practice location

301 Keith Dr
Spring City, TN 37381-5380

Mailing address

301 Keith Dr
Spring City, TN 37381-5380
Phone (423) 285-5246

Other identifiers 1

IdentifierTypeStateIssuer
H445213MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1861622995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 KEITH DR",
            "city": "SPRING CITY",
            "state": "TN",
            "postal_code": "373815380",
            "telephone_number": "423-285-5246",
            "fax_number": "423-285-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 KEITH DR",
            "city": "SPRING CITY",
            "state": "TN",
            "postal_code": "373815380",
            "telephone_number": "423-285-5246",
            "fax_number": "423-285-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & M PRIVATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "GOINS-HUGHES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "423-285-5246",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR,PSSA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "I438-087-9138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445213",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.