Kinship Pace of East Florida, LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

KINSHIP PACE OF EAST FLORIDA, LLC

Practice address

460 Malabar Rd SE
Palm Bay, FL 32907-3103

Phone

(317) 493-7608

NPI assigned

Sep 30, 2026

Last updated

Sep 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Leahy

Title

Cfo

Phone

(845) 235-6531

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1124932884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CROSSWAYS PARK DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MALABAR RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073103",
            "telephone_number": "317-493-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINSHIP PACE OF EAST FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "LEAHY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "845-235-6531"
    },
    "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 Palm Bay, FL
• Providers in Palm Bay, 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 Sep 30, 2026; 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.