Kozette King

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL13479 Issued in FL

Practice address

3913 Trovati St
Orlando, FL 32839-8844

Phone

(407) 242-3975

NPI assigned

May 27, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Good Ole Days Adult Living Facility LLC

  • Assisted Living Facility
  • Orlando, FL
  • NPI 1851916951
  NPD Authorized official
• Kozette Crawford

  • Assisted Living Facility
  • Orlando, FL
  • NPI 1003365354
  NPD (past)

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1013329952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 TROVATI ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328398844",
            "telephone_number": "407-242-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 TROVATI ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328398844",
            "telephone_number": "407-242-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KOZETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL13479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chieshia King
• Danielle Elizabeth King, NBC-HWC
• Emanuel King, PAC
• Jeffrey G King, MD
• Katelyn King, MD
• Latanya King, MSW
• Lisa Ann King, PA
• Madeline King, DMD
• Malarie King, BSW
• Michael Arthur King, PA-C

• 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 Jun 15, 2020; 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.