=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194518175
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KAY'S KONNECTIONS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/23/2025
-----------------------------------------------------
Last Update Date | 05/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 128 MAIN ST
-----------------------------------------------------
City | READLYN
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50668-7722
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 319-283-9591
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 14
-----------------------------------------------------
City | READLYN
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50668-0014
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 319-238-9591
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | KAYLEE MATITIA SCHECKEL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 319-238-9591
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------