KC HEALTHCARE SUPPLIES LLC (NPI# 1982890653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982890653 |
| Entity Type | Organization |
| Organization Name | KC HEALTHCARE SUPPLIES LLC |
| Practice Address |
5425 Sugarloaf Pkwy Suite#1100 Lawrenceville GA 30043-5764 |
| Mailing Address |
5425 Sugarloaf Pkwy Suite #1100 Lawrenceville GA 30043-5764 |
| Practice Telephone | 6783779660 |
| Practice Fax Number | 6783779566 |
| Mailing Telephone | 6783779660 |
| Mailing Fax Number | 6783779566 |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2011-06-17 |
| Authorized Official Name | MRS. CHINWE O'KOLI (CEO) |
| Authorized Official Telephone | 6783779660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 07072500 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 645147770A | 05 | |
| GA | CARECENTRIX | 21677 PARENT ID 2292 | 01 |
| Street Address |
5425 SUGARLOAF PKWY SUITE#1100 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-5764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306461009 | Five Stars Care & Supply Inc | Durable Medical Equipment & Medical Supplies | 1302 Burnt Wood Ct, Lawrenceville, GA 30044-2553 | 2020-06-09 |
| 1194349605 | Gail L Jenkins | Durable Medical Equipment & Medical Supplies | 544 Fieldstream Way, Lawrenceville, GA 30044-6955 | 2020-05-31 |
| 1154894905 | Kelvin Earl Davis Jr. | Durable Medical Equipment & Medical Supplies | 1699 Riverlanding Cir, Lawrenceville, GA 30046-2835 | 2019-01-04 |
| 1306207162 | Abiben & Company | Durable Medical Equipment & Medical Supplies | 849 Lynnfield Dr, Lawrenceville, GA 30045-5222 | 2016-03-08 |
| 1639547532 | Totalcare Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 134 Hurricane Shoals Rd Ste C, Lawrenceville, GA 30046-4445 | 2015-09-09 |
| 1427426691 | Ultralite Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 390 Farmer Ct, Lawrenceville, GA 30046-6132 | 2015-09-04 |
| 1336573674 | Somnus Dme | Durable Medical Equipment & Medical Supplies | 560 Lawrence Square Blvd S, Lawrenceville, NJ 08648-2674 | 2013-08-22 |
| 1760728513 | Lifecare Medical Supplies | Durable Medical Equipment & Medical Supplies | 1325 Capital Cir, Lawrenceville, GA 30043-8903 | 2012-12-26 |
| 1275883175 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 175 Gwinnett Dr Ste 111, Lawrenceville, GA 30046-8401 | 2012-09-18 |
| 1598039497 | Access Wheelchair Repair, LLC | Durable Medical Equipment & Medical Supplies | 283 Swanson Dr, Ste 103, Lawrenceville, GA 30043-8547 | 2012-02-24 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on KC HEALTHCARE SUPPLIES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.