Organization Active NPI

Kidney Care Coaches

  • Health Service Clinic/Center
  • Riverview, FL
National Provider Identifier
1053909218
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
KIDNEY CARE COACHES
Practice address
12431 Adventure Dr
Riverview, FL 33579-7789
Phone
(727) 451-9393
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Tifiro E Cook
Title
Ceo/Founder
Phone
(614) 371-9615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

12431 Adventure Dr
Riverview, FL 33579-7789

Mailing address

12431 Adventure Dr
Riverview, FL 33579-7789
Phone (727) 451-9393

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1053909218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12431 ADVENTURE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797789",
            "telephone_number": "727-451-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12431 ADVENTURE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797789",
            "telephone_number": "727-451-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CARE COACHES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "TIFIRO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "614-371-9615"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.