Provider Demographics
NPI:1811440316
Name:KJ QUALITY CARE LLC
Entity type:Organization
Organization Name:KJ QUALITY CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KRESHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPLEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-317-9021
Mailing Address - Street 1:3200 COUNTY ROAD 1120
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-8208
Mailing Address - Country:US
Mailing Address - Phone:817-202-5655
Mailing Address - Fax:
Practice Address - Street 1:1200 W HENDERSON ST STE E
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-8725
Practice Address - Country:US
Practice Address - Phone:682-317-9021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-01
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care