# KPC HOLDING GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** AMADA SENIOR CARE -ATLANTA SW
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467175638
- **Authorized official:** MS. KIMBERLY COTTO (CEO/PRESIDENT)
- **Authorized official phone:** (678) 923-8618

## Contact information

- **Practice address:** 3400 CHAPEL HILL RD STE 218, DOUGLASVILLE, GA 30135-1739
- **Practice address phone:** (678) 905-7400
- **Practice address fax:** (678) 528-3549
- **Mailing address:** 3400 CHAPEL HILL RD STE 218, DOUGLASVILLE, GA 30135-1739
- **Mailing address phone:** (678) 905-7400
- **Mailing address fax:** (678) 528-3549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2022
- **Last updated:** 09/22/2022