KMP Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KMP HOME CARE LLC

Practice address

4081 Mahogany Run
Winter Haven, FL 33884-2931

Phone

(863) 289-6611

NPI assigned

Jan 25, 2021

Last updated

Jan 28, 2021By 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

Keosha Sade Roy

Title

Manger

Phone

(863) 289-6611

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1952991762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4081 MAHOGANY RUN",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338842931",
            "telephone_number": "863-289-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4081 MAHOGANY RUN",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338842931",
            "telephone_number": "863-289-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMP HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "KEOSHA",
        "authorized_official_middle_name": "SADE",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "863-289-6611"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237291",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KMPhhc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4081 Mahogany Run",
            "city": "Winter Haven",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338842931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Klein, D.M.D
• Scott Evan Klein, DO
• Kleine Pediatrics
• Josef S. Kleine, MD
• Christopher John Kline, M.D.
• Courtney Deivert Knapp, ARNP, NP-C
• Amy Knecht
• Allison Knudson
• Sheila Koch, LCSW
• Robinson N Koilpillai, M.D.

• Home Health Agency in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.