1730480963 NPI number — K.S. HEALTHCARE, INC.

Table of content: (NPI 1730480963)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730480963 NPI number — K.S. HEALTHCARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
K.S. HEALTHCARE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CAREMINDERS HOME CARE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730480963
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/05/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2531 BRIARCLIFF RD NE
Provider Second Line Business Mailing Address:
SUITE 102
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30329-3017
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-865-3276
Provider Business Mailing Address Fax Number:
678-510-1611

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2531 BRIARCLIFF RD NE
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30329-3017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-865-3276
Provider Business Practice Location Address Fax Number:
678-510-1611
Provider Enumeration Date:
11/04/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SANDERS
Authorized Official First Name:
PATRICIA
Authorized Official Middle Name:
S
Authorized Official Title or Position:
VICE PRESIDENT OF QUALITY, SAFETY &
Authorized Official Telephone Number:
770-360-5554

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)