NPIMap

Organization Active NPI

Kaleo Supports, Inc.

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1922425628
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KALEO SUPPORTS, INC.
Practice address
123 Buckingham Ave
Fayetteville, NC 28301-4423
Phone
(910) 630-2255
Fax
(910) 339-2808
NPI assigned
Mar 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Nancy P Szymkowiak
Title
President Executive Director
Phone
(910) 630-2255

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

123 Buckingham Ave
Fayetteville, NC 28301-4423

Mailing address

5227 Matt Hair Rd
Fayetteville, NC 28312-7855
Phone (910) 630-2255

National Provider Directory

National Provider Directory
Tax ID family
Kaleo Supports Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1922425628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5227 MATT HAIR RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283127855",
            "telephone_number": "910-630-2255",
            "fax_number": "910-339-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 BUCKINGHAM AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014423",
            "telephone_number": "910-630-2255",
            "fax_number": "910-339-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEO SUPPORTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "SZYMKOWIAK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-630-2255"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.