Active NPI
Kendered Care
- Home Health Agency
- Winter Haven, FL
National Provider Identifier
1245922046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- KENDERED CARE
- Practice address
- 712 Avenue L SE
Winter Haven, FL 33880-4220 - Phone
- (863) 320-0058
- NPI assigned
- May 22, 2023
- Last updated
- May 22, 2023
- 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
- Ms. Ewana Guillaume
- Title
- Owner
- Phone
- (305) 647-8716
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
712 Avenue L SE
Winter Haven, FL 33880-4220
Mailing address
521 New Horizons Loop
Auburndale, FL 33823-4511
Phone (305) 647-8716
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684713600000",
"number": "1245922046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 NEW HORIZONS LOOP",
"city": "AUBURNDALE",
"state": "FL",
"postal_code": "338234511",
"telephone_number": "305-647-8716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 AVENUE L SE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338804220",
"telephone_number": "863-320-0058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENDERED CARE",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-22",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A",
"authorized_official_last_name": "GUILLAUME",
"authorized_official_first_name": "EWANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-647-8716",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.