Organization Active NPI

K & S Tender Care 11

  • Assisted Living Facility
  • Palm Bay, FL
National Provider Identifier
1124471529
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12830 Issued in FL
Legal business name
K & S TENDER CARE 11
Practice address
226 Abalone Road NE
Palm Bay, FL 32907
Phone
(321) 557-6592
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Authorized official

Name
Mrs. Sheryl Vaccianna
Title
President
Phone
(321) 557-6588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12830 FL Primary

Addresses

Primary practice location

226 Abalone Road NE
Palm Bay, FL 32907

Mailing address

226 Abalone Road NE
Palm Bay, FL 32907
Phone (321) 557-6592

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1124471529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 ABALONE ROAD NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32907",
            "telephone_number": "321-557-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 ABALONE ROAD NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32907",
            "telephone_number": "321-557-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & S TENDER CARE 11",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "VACCIANNA",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-557-6588",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.