Kids Individual Development Services Az LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KIDS INDIVIDUAL DEVELOPMENT SERVICES AZ LLC

Practice address

528 Cottage St NE Ste 400
Salem, OR 97301-3861

Phone

(623) 321-2811

Fax

(541) 275-0228

NPI assigned

Mar 6, 2024

Organization subpart

No

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

Authorized official

Name

Kathy Lehmeyer

Title

Ceo

Phone

(458) 802-5080

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1972361889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 NW CIRCLE BLVD STE 160-112",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301483",
            "telephone_number": "541-253-2115",
            "fax_number": "541-275-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 COTTAGE ST NE STE 400",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013861",
            "telephone_number": "623-321-2811",
            "fax_number": "541-275-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS INDIVIDUAL DEVELOPMENT SERVICES AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "LEHMEYER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "458-802-5080"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SKAZ0",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin N Khoury, PA
• Thong Lac Khuu, D.O.
• Kidability, Inc.
• Kidcare
• Kidney Care Physicians LLC
• Kids Individual Development Services LLC
• Zebuli Kiggins, PT, DPT
• Ann Michelle Kilborn
• Peter Killefer Jr., M.D.
• Donna Karen Killen, MA

• In Home Supportive Care Agency in Salem, OR
• Providers in Salem, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.