Kdpkii,Ink.

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

KDPKII,INK.

Practice address

3739 Millikin Ave
San Diego, CA 92122-2415

Phone

(858) 583-6431

Fax

(858) 587-2802

NPI assigned

Mar 24, 2022

Last updated

Mar 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Flora KellyNPI 1134535719

Title

Administrator

Phone

(858) 583-6431

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Flora Kelly

  • Assisted Living Facility
  • San Diego, CA
  • NPI 1134535719
  Authorized official Same address or phone

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1083364004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 DENNISON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222401",
            "telephone_number": "858-364-3158",
            "fax_number": "858-587-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3739 MILLIKIN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222415",
            "telephone_number": "858-583-6431",
            "fax_number": "858-587-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDPKII,INK.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "858-583-6431",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kdpki,Inc. (UC Care Senior Living I)
• Kdpkiii.Inc (UC Care Senior Living III)
• KDS H O O D
• Tina Ke
• Chanel Evalani Kealoha, PSYD
• Kealsa Transportation Services

• Assisted Living Facility (Behavioral Disturbances) in San Diego, CA
• Providers in San Diego, CA by specialty
• Assisted Living Facility (Behavioral Disturbances) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.