Kimwell Operating LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KIMWELL OPERATING LLC

Practice address

495 New Boston Rd
Fall River, MA 02720-5835

Phone

(508) 679-0106

NPI assigned

May 16, 2016

Organization subpart

Yes

Parent organization

MA OPERATIONS HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Yosef Gerson

Title

Ar

Phone

(646) 450-6309

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1154778660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 COMMUNITY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 NEW BOSTON RD",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205835",
            "telephone_number": "508-679-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMWELL OPERATING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MA OPERATIONS HOLDINGS LLC",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "GERSON",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "AR",
        "authorized_official_telephone_number": "646-450-6309"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Patrick Kilroy, D.D.S.
• Nicholas S Kim, DMD MD
• Benjamin Joel Kimball, B.A.
• Kimwell Healthcare LLC
• Kimwell Nursing SNF Operations BHC
• Kimwell SNF Opco LLC
• King de Melo Southcoast Foot Care
• Brittany King
• Kayla Kinisky
• Cristina Kinslieh

• Skilled Nursing Facility in Fall River, MA
• Providers in Fall River, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.