Kismets & Rebels, LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

KISMETS & REBELS, LLC

Practice address

9609 Simeon Dr
Land O Lakes, FL 34638-6923

Phone

(813) 460-7767

NPI assigned

Jun 13, 2018

Organization subpart

Yes

Parent organization

KISMET KAREAs reported in NPPES

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

Authorized official

Name

Keshell Alvies

Title

Owner

Phone

(813) 460-7767

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Kismets Rebels LLC2 organizations share this tax ID, including this one

Part of

Kismets Rebels LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kismet Kare

  • Home Health Agency
  • Tampa, FL
  • NPI 1356852347
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Kismet Kare

  • Home Health Agency
  • Tampa, FL
  • NPI 1356852347
  NPPES parent name

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1114410149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9609 SIMEON DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346386923",
            "telephone_number": "813-460-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9609 SIMEON DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346386923",
            "telephone_number": "813-460-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISMETS & REBELS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KISMET KARE",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "ALVIES",
        "authorized_official_first_name": "KESHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-460-7767"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023385500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kinam, LLC
• Camille Leah King
• Kyle King
• Mykenzie Pamela King
• Jhane Kirksey
• KMR Therapy, LLC
• Omaima Kobaisy, MD
• Nichol Kobler
• Tracey E Kock, ITDS
• Jasper Koenig, LMT

• Developmental Disabilities Clinic/Center in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.