Organization Active NPI

Senior Care of Kokomo, LLC

  • Home Health Agency
  • Kokomo, IN
National Provider Identifier
1962855841
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
15-012042-1 Issued in IN
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

Updated by the provider on Jul 15, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200802120AMedicaidIN

Other names 1

  • Comfort Keepers #566 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comfort Keepers 5662 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.

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.

Verify at the official NPI Registry.