Michelle Bogo Kim

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

3230 Steve Reynolds Blvd Ste 214
Duluth, GA 30096-8833

Phone

(470) 282-1966

Fax

(888) 342-1617

NPI assigned

Sep 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dasom Homecare Agency LLC

  • Home Health Agency
  • Lawrenceville, GA
  • NPI 1750039798
  NPD Authorized official

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1922887306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 STEVE REYNOLDS BLVD",
            "address_2": "STE 214",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968833",
            "telephone_number": "470-282-1966",
            "fax_number": "888-342-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 STEVE REYNOLDS BLVD STE 214",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968833",
            "telephone_number": "470-282-1966",
            "fax_number": "888-342-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MICHELLE",
        "middle_name": "BOGO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003282818B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003282818A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jung Bum Kim, D.C
• Jung H Kim, PT, DPT
• Katherine Hui-Jin Kim
• Ki Chun Kim, PH.D., L.AC.
• Michael Kim, M.D.
• Mikael Woo Kim, D.C.
• Min Soo Kim
• Minjoo Kim
• Seung J Kim, MD
• Shawn S. Kim, M.D.

• Home Health Aide in Duluth, GA
• Providers in Duluth, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.