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1124934757 NPI number — K&M QUALITY HOMECARE SERVICES LLC

NPI Number: 1124934757
Health Care Provider/Practitioner: K&M QUALITY HOMECARE SERVICES LLC

Information about “1124934757” NPI (K&M QUALITY HOMECARE SERVICES LLC) exists in 1124934757 in HTML format HTML  |  1124934757 in plain Text format TXT  |  1124934757 in PDF (Portable Document Format) PDF  |  1124934757 in an XML format XML  formats.

NPI Number : 1124934757 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124934757",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "K&M QUALITY HOMECARE SERVICES LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5610 BROAD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PITTSBURGH",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15206-3576",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "800-522-6619",
    "MailingAddressFaxNumber": "272-299-0106",
    "FirstLinePracticeLocationAddress": "5610 BROAD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PITTSBURGH",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15206-3576",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-522-6619",
    "PracticeLocationAddressFaxNumber": "272-299-0106",
    "EnumerationDate": "08/22/2026",
    "LastUpdateDate": "08/22/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MONTGOMERY",
    "AuthorizedOfficialFirstName": "KAIESHA",
    "AuthorizedOfficialMiddleName": "NICOLE",
    "AuthorizedOfficialTitle": "OWNER/ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "800-522-6619",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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