Kgc Operator, Inc.
NPI 1124717012ActiveOrganization· Assisted Living Facility· Bloomington, IN
Assisted Living Facility in Bloomington, Indiana, registered in NPPES in May 2023. The authorized official on file is Anna F.C. Munoz, Assistant Secretary.
Overview
| NPI | 1124717012 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 5, 2023 |
| Last updated in NPPES | Apr 28, 2025 |
| Certified by provider | Apr 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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