Organization Active NPI

My Kit Free LLC

  • Public Health or Welfare Agency
  • Trenton, MI
National Provider Identifier
1114627635
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MY KIT FREE LLC
Practice address
5400 Fort St Ste 210
Trenton, MI 48183-4630
Phone
(734) 676-5353
Fax
(855) 552-3776
NPI assigned
Mar 3, 2023
Last updated
Apr 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Christopher Kozlow
Title
Authorized Official/Manager
Phone
(606) 691-0366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

5400 Fort St Ste 210
Trenton, MI 48183-4630

Mailing address

6833 S Dayton St # 255
Greenwood Village, CO 80112-3624
Phone (606) 691-0366

Other practice location 1

1040 S Federal Blvd
Denver, CO 80219-4102
Phone (606) 691-0366

Other practice location 2

6707 38th Ave N
St Petersburg, FL 33710-1536
Phone (727) 800-9958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230427002677 MI Part B Supplier - Clinic/Group Practice 9931564812 Receives reassigned benefits from 1 practitioner
Practice locations: Trenton, MI

National Provider Directory

National Provider Directory

Locations

1040 S Federal Blvd
Denver, CO 80219
Phone (606) 691-0366

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1114627635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6833 S DAYTON ST # 255",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801123624",
            "telephone_number": "606-691-0366",
            "fax_number": "606-328-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 FORT ST STE 210",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834630",
            "telephone_number": "734-676-5353",
            "fax_number": "855-552-3776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 S Federal Blvd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802194102",
            "country_code": "US",
            "telephone_number": "606-691-0366",
            "fax_number": "606-328-6128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6707 38th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337101536",
            "country_code": "US",
            "telephone_number": "727-800-9958",
            "fax_number": "855-552-3776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY KIT FREE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "KOZLOW",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/MANAGER",
        "authorized_official_telephone_number": "606-691-0366"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.