KBS Walter Group LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

KBS WALTER GROUP LLC

Doing business as

dba St Augustine Center for Living

Practice address

5155 US Highway 1 S
St Augustine, FL 32086-7855

Phone

(904) 797-5027

Fax

(904) 797-5577

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Mr. William Robert Walter

Title

Owner President

Phone

(904) 797-5027

Specialties & licenses 1

Addresses

Other names 1

• dba St Augustine Center for Living Doing business as

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1245497551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 US HIGHWAY 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320867855",
            "telephone_number": "904-797-5027",
            "fax_number": "904-797-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 US HIGHWAY 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320867855",
            "telephone_number": "904-797-5027",
            "fax_number": "904-797-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBS WALTER GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "904-797-5027",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba St Augustine Center for Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fawaz Katmeh, MD
• Divleen Kaur, PA-C
• Therese Mariam Kavtaradze
• Robert Kawa, D.O.
• Andrew Kawamleh
• Birendra KC, MD
• Heather Ann Keane
• Meghan Kelly Keating, PMHNP-BC
• Christine Keck, COTA
• Megan Ann Keegan, M.S.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.