Organization Active NPI

Kamani of the Palm Beach, Inc.

  • Assisted Living Facility (Behavioral Disturbances)
  • West Palm Beach, FL
National Provider Identifier
1184861098
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
KAMANI OF THE PALM BEACH, INC.
Practice address
3217 Broadway Ave
West Palm Beach, FL 33407-5136
Phone
(561) 844-5313
NPI assigned
Jan 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Nancy Ann Hanlon
Title
Manager
Phone
(561) 649-8535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

3217 Broadway Ave
West Palm Beach, FL 33407-5136

Mailing address

6266 S Congress Ave Ste L5
Lantana, FL 33462-2308
Phone (561) 649-8535

Other identifiers 1

IdentifierTypeStateIssuer
143078500MedicaidFL

Other names 1

  • Doreen's Assisted Living Facility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Doreen'S Assisted Living Facility2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6266 S Congress Ave
Ste L5
Lantana, FL 33462

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1184861098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6266 S CONGRESS AVE STE L5",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334622308",
            "telephone_number": "561-649-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 BROADWAY AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075136",
            "telephone_number": "561-844-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMANI OF THE PALM BEACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "HANLON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-649-8535"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143078500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doreen's Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.