NPI 1891848503 · live from the CMS NPI Registry
Klm Healthcare Agency INC
Community/Behavioral Health in Jackson, MS. National Provider Identifier 1891848503, active.
NPI record
| NPI | 1891848503 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Community/Behavioral Health 251S00000X |
| Practice location | 4807 N State St, Suite 402, Jackson, MS 39206 |
| Practice phone | 601-362-7690 |
| Enumerated | January 18, 2007 |
| Last updated | September 11, 2025 |
| Authorized official | Linda Green, Chief Executive Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based | 251G00000X | R804231 (MS) |
| PACE Provider Organization | 251T00000X | R804231 (MS) |
| Respite Care | 385H00000X | R804231 (MS) |
| Community/Behavioral Health primary | 251S00000X | R804231 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.