KBL MANOR INC NPI 1144463894

NPI Information

  • NPI: 1144463894
  • Provider Name: KBL MANOR INC
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Doing Business As: ST. JOSEPH A.L.F.
  • Address: 16100 SW 101ST AVE
    MIAMI, FL
    ZIP 33157
  • Phone: (305) 251-4123

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NPI Details

KBL MANOR INC is an assisted living and mental illness 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 special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. KBL MANOR INC NPI is 1144463894. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Joseph A.l.f..

The provider's business location address is:

16100 SW 101ST AVE
MIAMI, FL
ZIP 33157-216
Phone: (305) 251-4123

The provider's authorized official is Kadie C Kissoonlal .
The authorized official title is Administrator and has the following contact phone number (305) 251-4123.

The enumeration date for this NPI number is 4/10/2009 and was last updated on 4/10/2009.

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
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessAL9516FLORIDAYes

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
1142418100MEDICAIDFLORIDA

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: 11/21/2025

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