Kj Adult Care, Llc

LBN: Kj Adult Care ,Llc
Kj Adult Care, Llc is an health care organization with primary practice located at 1002 W Solomon St , Griffin GA 30223-2632. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Kj Adult Care ,Llc can be contacted via phone (678) 557-2613, or through Chislom, Tracie Renee via phone (678) 557-2613.

Contact Information

Primary practice address
1002 W Solomon St Griffin GA 30223-2632
Phone: (678) 557-2613
Fax: (678) 572-4514
Website:
Map and Directions
Authorized official contact:
Name: Chislom, Tracie Renee
Phone: (678) 557-2613

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1003431438
LBN Legal business name Kj Adult Care ,Llc
DBA Doing business as Kj Adult Care, Llc
Authorized official Chislom, Tracie Renee
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2020
Last updated Jun 11th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003431438 NPPES
Georgia MEDICAID 1801354774

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