KCG Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KCG HOME CARE LLC

Doing business as

Senior Concierge Services

Practice address

5458 Hoffner Ave Ste 304
Orlando, FL 32812-2518

Phone

(407) 237-0518

Fax

(407) 237-0591

NPI assigned

Jan 25, 2019

Organization subpart

No

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

Authorized official

Name

Chantay Charisse George, HOMEMAKER/COMPANION

Title

Owner

Phone

(407) 237-0518

Specialties & licenses 1

Addresses

Other names 1

• Senior Concierge Services Doing business as

Locations

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1902360753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5458 HOFFNER AVE STE 304",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122518",
            "telephone_number": "407-237-0518",
            "fax_number": "407-237-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 HOFFNER AVE STE 304",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122518",
            "telephone_number": "407-237-0518",
            "fax_number": "407-237-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCG HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "CHANTAY",
        "authorized_official_middle_name": "CHARISSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-237-0518",
        "authorized_official_credential": "HOMEMAKER/COMPANION"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Concierge Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.