Kinship Pace of South Florida

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

KINSHIP PACE OF SOUTH FLORIDA

Practice address

2555 Davie Rd
Davie, FL 33317-7424

Phone

(866) 211-7082

NPI assigned

Jun 21, 2025

Organization subpart

Yes

Parent organization

CITIPACE HOLDING COMPANYAs reported in NPPES

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

Authorized official

Name

Lisa Garay

Title

Chief Executive Officer

Phone

(201) 675-5663

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1750464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750464000000",
    "number": "1114814282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 3RD AVE FL 29",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224834",
            "telephone_number": "727-417-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 DAVIE RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333177424",
            "telephone_number": "866-211-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINSHIP PACE OF SOUTH FLORIDA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITIPACE HOLDING COMPANY",
        "enumeration_date": "2025-06-21",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A",
        "authorized_official_last_name": "GARAY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "201-675-5663"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• PACE Provider Organization in Davie, FL
• Providers in Davie, FL by specialty
• PACE Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.