K and D Care Communities, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

K AND D CARE COMMUNITIES, LLC

Doing business as

Evergreen Manor Retirement Home

Practice address

3297 State Road 580
Safety Harbor, FL 34695-4929

Phone

(727) 724-3776

Fax

(727) 723-1652

NPI assigned

Jul 8, 2014

Organization subpart

No

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

Authorized official

Name

Mr. D A Bennett

Title

Owner

Phone

(727) 742-9758

Specialties & licenses 1

Addresses

Other names 1

• Evergreen Manor Retirement Home Doing business as

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1083020358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3297 STATE ROAD 580",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954929",
            "telephone_number": "727-724-3776",
            "fax_number": "727-723-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3297 STATE ROAD 580",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954929",
            "telephone_number": "727-724-3776",
            "fax_number": "727-723-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K AND D CARE COMMUNITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-742-9758",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Manor Retirement Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Journey ABA Florida LLC
• Journey of Life Companion and Support Services LLC
• Luis Eduardo Joya, MD
• Karen Juarez, D.O.
• Sidhant Juneja, MD
• Alanna Laura Kaplan, D.O.
• Deborah B Karlan, L.M.T., C.T.
• Robert Kaszuba, MD
• Kaitlyn Kauff, PHARMD
• Loula Kelarakos, CAA

• Assisted Living Facility in Safety Harbor, FL
• Providers in Safety Harbor, 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 Jul 8, 2014; 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.