KLM Healthcare Agency Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

R804231 Issued in MS

Legal business name

KLM HEALTHCARE AGENCY INC

Practice address

4807 N State St
Suite 402
Jackson, MS 39206-4826

Phone

(601) 362-7690

Fax

(601) 362-7691

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Ruth Green, RN

Title

Chief Executive Officer

Phone

(601) 842-1685

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1891848503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 N STATE ST",
            "address_2": "SUITE 402",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064826",
            "telephone_number": "601-362-7690",
            "fax_number": "601-362-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 N STATE ST",
            "address_2": "SUITE 402",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064826",
            "telephone_number": "601-362-7690",
            "fax_number": "601-362-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLM HEALTHCARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "601-842-1685",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "R804231",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MS",
            "license": "R804231",
            "primary": true
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "MS",
            "license": "R804231",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MS",
            "license": "R804231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Neubauer Kitchens, PMHNP
• Victoria Kivlan, AU.D
• Patrick M Klar, M.D.
• Karen H Klein, PT
• Madison Klim
• Klyvora LLC
• Klyvora LLC
• Klyvora LLC
• Klyvora LLC
• Klyvora LLC

• All providers in Jackson, MS
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.