Provider Demographics
NPI:1710017454
Name:K-GROUP OF NC LLC
Entity Type:Organization
Organization Name:K-GROUP OF NC LLC
Other - Org Name:INTERIM HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARLO
Authorized Official - Middle Name:J
Authorized Official - Last Name:KING
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:828-274-2082
Mailing Address - Street 1:PO BOX 15639
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28813-0639
Mailing Address - Country:US
Mailing Address - Phone:828-274-2082
Mailing Address - Fax:828-274-3201
Practice Address - Street 1:1550 HENDERSONVILLE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3187
Practice Address - Country:US
Practice Address - Phone:828-274-2082
Practice Address - Fax:828-274-3201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2046163W00000X, 164W00000X, 251J00000X, 372600000X, 3747P1801X, 374U00000X, 376K00000X
NCHC 2046251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
Not Answered164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
Not Answered251F00000XAgenciesHome Infusion
Not Answered251J00000XAgenciesNursing Care
Not Answered372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
Not Answered3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Not Answered374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
Not Answered376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0000OtherINSURANCE PRIVATE PAY