Kiva at Canterbury,LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7622 Issued in FL

Legal business name

KIVA AT CANTERBURY,LLC

Practice address

10 7TH St
Bonita Springs, FL 34134-7415

Phone

(239) 992-8599

NPI assigned

Oct 18, 2012

Organization subpart

No

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

Authorized official

Name

Thomas Scarborough

Title

Owner

Phone

(615) 397-5271

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1164775953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 7TH ST",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 7TH ST",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347415",
            "telephone_number": "239-992-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIVA AT CANTERBURY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "SCARBOROUGH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-397-5271"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "693447100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Caitlin Kitts
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• Assisted Living Facility in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.