Provider Demographics
NPI:1306396460
Name:K & C VENTURES LLC
Entity Type:Organization
Organization Name:K & C VENTURES LLC
Other - Org Name:FAMILIES 1ST SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-559-8376
Mailing Address - Street 1:9920 S RURAL RD # 108-68
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-4100
Mailing Address - Country:US
Mailing Address - Phone:602-559-8376
Mailing Address - Fax:
Practice Address - Street 1:4013 E BROADWAY RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85040-8818
Practice Address - Country:US
Practice Address - Phone:602-559-8376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care