Organization Active NPI

Kenzie Kare Group Home

  • Adult Care Home Facility
  • Lehigh Acres, FL
National Provider Identifier
1114197571
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
KENZIE KARE GROUP HOME
Practice address
919 5TH Ave
Lehigh Acres, FL 33972-2921
Phone
(239) 369-6448
Fax
(239) 902-9887
NPI assigned
Mar 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Mrs. Cassandra Elizabeth McKenzie, REGISTERED NURSE MSNNPI 1568632925
Title
Ceo
Phone
(239) 834-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

919 5TH Ave
Lehigh Acres, FL 33972-2921

Mailing address

919 5TH Ave
Lehigh Acres, FL 33972-2921
Phone (239) 369-6448

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1114197571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 5TH AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339722921",
            "telephone_number": "239-369-6448",
            "fax_number": "239-902-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 5TH AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339722921",
            "telephone_number": "239-369-6448",
            "fax_number": "239-902-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENZIE KARE GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-01",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-834-4300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE MSN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.