Healthcare Provider Details

I. General information

NPI: 1174436869
Provider Name (Legal Business Name): KAP ADULT DAY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8601 DUNWOODY PL STE 130
SANDY SPRINGS GA
30350-2517
US

IV. Provider business mailing address

549 JEFFERSON RD
MULLICA HILL NJ
08062-2417
US

V. Phone/Fax

Practice location:
  • Phone: 404-595-2034
  • Fax:
Mailing address:
  • Phone: 267-249-5721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KEVIN HERMAN
Title or Position: OWNER/MANAGING MEMBER
Credential:
Phone: 267-249-5721