Kristo-Jay Ashley Bailey

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

2881 NW 204TH LN
Miami Gardens, FL 33056-2027

Phone

(305) 610-2688

NPI assigned

Aug 15, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Port Royal Home Health Care Inc

  • Home Health Agency
  • Miami, FL
  • NPI 1417470659

  In Home Supportive Care

  NPD (past) Authorized official

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1093269409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 NW 204TH LN",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330562027",
            "telephone_number": "305-832-9385",
            "fax_number": "800-356-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 NW 204TH LN",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330562027",
            "telephone_number": "305-610-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "KRISTO-JAY",
        "middle_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020192400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neyvis Greter Baez Molina
• Dachely Baez
• Miriam Baez
• Annaira Bahamondez
• Daniel Lionel Bailey Jr., D.D.S.
• Vivianne Bailey
• Lola Bain
• Markicha Baker-Alcide, RCSWI
• Danielle Baker, DPT
• Kimberly Balkcom, MS, LMHC

• In Home Supportive Care Agency in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.