Organization Active NPI

KDK-G Holdings LLC

  • Home Health Agency
  • Corpus Christi, TX
National Provider Identifier
1982464996
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KDK-G HOLDINGS LLC
Doing business as
Texas Sky Provider Services
Practice address
5350 S Staples St Ste 345a
Corpus Christi, TX 78411-4790
Phone
(361) 299-5920
NPI assigned
Mar 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Katrina GarzaNPI 1669184198
Title
Administrator
Phone
(361) 299-5920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X
Personal Care Attendant 3747P1801X

Addresses

Primary practice location

5350 S Staples St Ste 345a
Corpus Christi, TX 78411-4790

Mailing address

5350 S Staples St Ste 345a
Corpus Christi, TX 78411-4790
Phone (361) 299-5920

Other names 1

  • Texas Sky Provider Services Doing business as

National Provider Directory

National Provider Directory

Locations

5350 S Staples St
Ste 345A
Corpus Christi, TX 78411
Phone (361) 299-5920

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1982464996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 S STAPLES ST STE 345A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114790",
            "telephone_number": "361-299-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 S STAPLES ST STE 345A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114790",
            "telephone_number": "361-299-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDK-G HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-299-5920"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Sky Provider Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas Sky Provider Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.