KG Home Care LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

KG HOME CARE LLC

Practice address

10660 E Bethany Dr # 18
Aurora, CO 80014-2602

Phone

(720) 999-2993

NPI assigned

May 22, 2024

Organization subpart

No

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

Authorized official

Name

Khadar Mohamed

Title

Ceo

Phone

(720) 999-2993

Specialties & licenses 1

Addresses

Tax ID family

KG Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• KG Home Care LLC

  • In Home Supportive Care Agency
  • Aurora, CO
  • NPI 1134982416
  NPD tax ID

Locations

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726272000000",
    "number": "1952140550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10660 E BETHANY DR # 18",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142602",
            "telephone_number": "720-999-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10660 E BETHANY DR # 18",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142602",
            "telephone_number": "720-999-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KG HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "KHADAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-999-2993"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keystone Home Health Agency LLC
• Keystone Home Health Agency LLC
• Keystone Primary Care LLC
• Alexis Mackenzie Keyworth, PA-C
• KG Home Care LLC
• Ferougg Khaaliq, PA
• Mohammad Tareq Khadra, DDS
• Nasim Khalfe, MD
• Ameedah Zahirah Khalifeh, MSW
• Anne Khalifeh, PSY.D., ABPP

• Custodial Care Facility in Aurora, CO
• Providers in Aurora, CO by specialty
• Custodial Care Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.