KC Care Management,Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HAL-032-071 Issued in NC

Legal business name

KC CARE MANAGEMENT,INC.

Practice address

5010 S Alston Ave
Durham, NC 27713-4425

Phone

(919) 544-0257

NPI assigned

Oct 15, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Carl Lavalle Blackwell Jr.

Title

President

Phone

(919) 544-0257

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1942452446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 S ALSTON AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134425",
            "telephone_number": "919-544-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 S ALSTON AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134425",
            "telephone_number": "919-544-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC CARE MANAGEMENT,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "LAVALLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-544-0257",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-032-071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Paige Kaylor-Bates, MA, CCC-SLP
• Serena Ivy-May Kaylor
• Lily Kays
• Rania Youssef Kazan
• Hadiza Shu'Aib Kazaure, MD
• Susan Kealey, M.D.
• Brooke Leigh Kearney
• Hattie Denise Kearney, COTA/L
• Meaghan Kearns, M.S., CCC-SLP
• Donald Paul Keating III, DO

• Adult Care Home Facility in Durham, NC
• Providers in Durham, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.