KV Quality Care

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

KV QUALITY CARE

Practice address

109 Lynnfield St
Memphis, TN 38120-2305

Phone

(901) 825-2432

NPI assigned

Aug 6, 2020

Organization subpart

No

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

Authorized official

Name

Edward W Evans

Title

Managing Member

Phone

(901) 825-2432

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1871103564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LYNNFIELD ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202305",
            "telephone_number": "901-825-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 LYNNFIELD ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202305",
            "telephone_number": "901-825-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KV QUALITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "901-825-2432"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Burns Kuster, M.D.
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• William Hanna Kutteh, M.D., PH.D
• Caitlin Renee Kutz, MD
• Hakyong Gloria Kwak, MD
• Marie Kyle
• Tia Kyles Jackson, LCSW
• Monique Kyles, DNP, APRN, CPNP-PC
• Tracye Denise Kyles, M.D.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Memphis, TN
• Providers in Memphis, TN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.