KKJ Enterprises, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KKJ ENTERPRISES, INC

Doing business as

Crystal Care Center of Portsmouth

Practice address

1319 Spring Street
Portsmouth, OH 45662

Phone

(740) 354-6619

Fax

(740) 354-5710

NPI assigned

Jul 7, 2005

Last updated

Dec 2, 2013By 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

Ms. Carol Sue Sauer

Title

Administrator

Phone

(740) 354-6619

Specialties & licenses 2

Addresses

Other names 1

• Crystal Care Center of Portsmouth Doing business as

Locations

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1972500692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 439",
            "address_2": "1319 SPRING STREET",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "45662",
            "telephone_number": "740-354-6619",
            "fax_number": "740-353-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 SPRING STREET",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "45662",
            "telephone_number": "740-354-6619",
            "fax_number": "740-354-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KKJ ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "SAUER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "740-354-6619",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Care Center of Portsmouth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kings Daughters Medical Specialties Inc., (Kings Daughters Medical Oncology - Portsmouth Cancer Care Assoicates)
• Jeannie Kinzer, CDCA
• Rikki Kirker
• Jade Reshea Kirkpatrick, CNP
• Cecelia Kitakufe, M.D.
• Kristen Macey Klaiber
• Jessica Kleinman
• Robert J Knox, M.D.
• Jodie Kouns
• Deidra Kraft, CDCA

• Skilled Nursing Facility in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.