K-Bee Homcare Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

K-BEE HOMCARE SERVICES, LLC

Practice address

210 N Main St
901 Fairmont Court
Clovis, NM 88101-7553

Phone

(575) 762-9356

Fax

(575) 763-3652

NPI assigned

Jul 27, 2015

Last updated

Jul 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marvin Dwight GodwinNPI 1407154941

Title

Administrator

Phone

(575) 762-9356

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marvin Dwight Godwin

  • In Home Supportive Care Agency
  • Clovis, NM
  • NPI 1407154941
  NPD Authorized official

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1922483395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N MAIN ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881017553",
            "telephone_number": "575-762-9356",
            "fax_number": "575-763-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N MAIN ST",
            "address_2": "901 FAIRMONT COURT",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881017553",
            "telephone_number": "575-762-9356",
            "fax_number": "575-763-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K-BEE HOMCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "575-762-9356",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407154941",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Clovis, NM
• Providers in Clovis, NM by specialty
• In Home Supportive Care Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.