Active NPI
Kinship Pace of Central Florida, LLC
- PACE Provider Organization
- Lakeland, FL
National Provider Identifier
1194639856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- KINSHIP PACE OF CENTRAL FLORIDA, LLC
- Practice address
- 4231 S Pipkin Rd
Lakeland, FL 33811-1442 - Phone
- (845) 235-6531
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | NU | Primary |
Addresses
Primary practice location
4231 S Pipkin Rd
Lakeland, FL 33811-1442
Mailing address
225 Crossways Park Dr
Woodbury, NY 11797-2083
NPI Registry JSON
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": "1194639856",
"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": "4231 S PIPKIN RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338111442",
"telephone_number": "845-235-6531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINSHIP PACE OF CENTRAL 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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- 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.