Active NPI
Kairos Foundation
- Case Management Agency
- Conway, AR
National Provider Identifier
1881060440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- KAIROS FOUNDATION
- Practice address
- 235 Tilk Rd
Conway, AR 72032-6648 - Phone
- (501) 247-9006
- NPI assigned
- Aug 18, 2015
- 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
- Mrs. Karolyn Denise Taylor, MS
- Title
- Executive Director
- Phone
- (501) 247-9006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
235 Tilk Rd
Conway, AR 72032-6648
Mailing address
2735 Longbow LN
Conway, AR 72034-6738
Phone (501) 247-9006
Other names 1
- Kairos Academy
National Provider Directory
National Provider DirectoryLocations
235 Tilk Rd
Conway, AR 72032
Phone (501) 247-9006
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Conway, AR
- NPI 1144696709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439856000000",
"number": "1881060440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2735 LONGBOW LN",
"city": "CONWAY",
"state": "AR",
"postal_code": "720346738",
"telephone_number": "501-247-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 TILK RD",
"city": "CONWAY",
"state": "AR",
"postal_code": "720326648",
"telephone_number": "501-247-9006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAIROS FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-18",
"last_updated": "2015-08-18",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "KAROLYN",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "501-247-9006",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kairos Academy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.