Active NPI
Senior Care of Kokomo, LLC
- Home Health Agency
- Kokomo, IN
National Provider Identifier
1962855841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 15-012042-1
- Legal business name
- SENIOR CARE OF KOKOMO, LLC
- Practice address
- 1819 S Plate St
Kokomo, IN 46902-5731 - Phone
- (765) 868-9230
- Fax
- (765) 868-9250
- NPI assigned
- Jul 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven S Oakley
- Title
- Owner
- Phone
- (765) 419-7617
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 15-012042-1 | IN | Primary |
Addresses
Primary practice location
1819 S Plate St
Kokomo, IN 46902-5731
Mailing address
1819 S Plate St
Kokomo, IN 46902-5731
Phone (765) 868-9230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200802120A | Medicaid | IN |
Other names 1
- Comfort Keepers #566
National Provider Directory
National Provider Directory- Tax ID family
- Comfort Keepers 566
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Disabilities Residential Treatment Facility
- Kokomo, IN
- NPI 1417123985
Locations
1819 S Plate St
Kokomo, IN 46902
Phone (765) 868-9230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468540800000",
"number": "1962855841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 S PLATE ST",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469025731",
"telephone_number": "765-868-9230",
"fax_number": "765-868-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 S PLATE ST",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469025731",
"telephone_number": "765-868-9230",
"fax_number": "765-868-9250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR CARE OF KOKOMO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-15",
"last_updated": "2016-07-15",
"status": "A",
"authorized_official_last_name": "OAKLEY",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "765-419-7617",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IN",
"license": "15-012042-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200802120A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Comfort Keepers #566",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.