Evalou Kalena

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

23 Issued in FL

Legal business name

EVALOU KALENA

Practice address

823 Scotland St
Dunedin, FL 34698-7126

Phone

(727) 733-8304

NPI assigned

Aug 27, 2013

Organization subpart

No

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

Authorized official

Name

Evalou Kalena

Title

Owner

Phone

(727) 733-8304

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1104250133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 SCOTLAND ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 SCOTLAND ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987126",
            "telephone_number": "727-733-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVALOU KALENA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "KALENA",
        "authorized_official_first_name": "EVALOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-733-8304"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141554900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.