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KMG HOLDINGS INC NPI 1518084227


NPI Information

NPI: 1518084227
Provider Name: KMG HOLDINGS, INC

Doing Business As: THE LIGHTHOUSE

Classification: Foster Care Agency - 253J00000X
Entity Type: Organization
Address:
10307 S OAK ST STE C
MIDDLESEX, NC
ZIP 27557
Phone: (919) 550-8038
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KMG HOLDINGS, INC is a foster care agency in Middlesex, NC. The provider is a Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. KMG HOLDINGS, INC NPI is 1518084227. The provider is registered as an organization entity type.
The provider Is Doing Business As The Lighthouse.

The provider's business location address is:

10307 S OAK ST STE C
MIDDLESEX, NC
ZIP 27557-824
Phone: (919) 550-8038
Fax: (919) 882-6311

The provider's authorized official is Kory Kale .
The authorized official title is Ceo and has the following contact phone number (919) 795-4438.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 5/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-051138NORTH CAROLINANo
2253J00000XFoster Care AgencyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16603715MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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