KEVIN FAMILY HOME LLC NPI 1720757826

NPI Information

NPI: 1720757826
Provider Name: KEVIN FAMILY HOME LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
7020 SW 107TH AVE
MIAMI, FL
ZIP 33173
Phone: (305) 598-9610
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KEVIN FAMILY HOME LLC is an assisted living facility in Miami, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. KEVIN FAMILY HOME LLC NPI is 1720757826. The provider is registered as an organization entity type.

The provider's business location address is:

7020 SW 107TH AVE
MIAMI, FL
ZIP 33173-014
Phone: (305) 598-9610
Fax: (786) 353-2245

The provider's authorized official is Leodany Suarez .
The authorized official title is Owner and has the following contact phone number (786) 478-5483.

The enumeration date for this NPI number is 9/10/2021 and was last updated on 9/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9874	OTHER	FLORIDA	AHCA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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