Kozette Crawford

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12500 Issued in FL

Legal business name

KOZETTE CRAWFORD

Practice address

1504 Bennett Rd
Orlando, FL 32803-2468

Phone

(407) 748-8252

NPI assigned

Sep 28, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kozette Crawford

Title

Administrator

Phone

(407) 748-8252

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Good Ole Days Adult Living Facility Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kozette King

  • Assisted Living Facility
  • Orlando, FL
  • NPI 1013329952
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1003365354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 BENNETT RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032468",
            "telephone_number": "407-748-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 BENNETT RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032468",
            "telephone_number": "407-748-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOZETTE CRAWFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "KOZETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-748-8252"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017210400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Ole Days Adult Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary Kovacs, CRNA
• Kenneth J Koval, MD
• Nathan Shiao-Yung Kow, M.D.
• Allison Lea Kowatch, MD
• Marat Michael Koyfman, DMD
• Todd Kozloski, ARNP
• KP Ppec, LLC
• Miranda Lynn Kraenzlin
• Taylor Krafsky
• Caroline Marie Kraft, MD

• Assisted Living Facility in Orlando, FL
• Providers in Orlando, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.