Kinanllc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

KINANLLC

Practice address

2132 E Kings Ave
Phoenix, AZ 85022-2900

Phone

(602) 218-6562

NPI assigned

Jul 5, 2022

Organization subpart

No

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

Authorized official

Name

Linda M SeroneiNPI 1982336194

Title

Administrator

Phone

(623) 398-9295

Specialties & licenses 1

Addresses

Other names 2

• Kinan Behavioral health Doing business as
• Kinan Behavoral Health Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda M Seronei, ADMINISTRATOR

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1982336194

  Community Based Residential Treatment Facility, Mental Illness

  NPD Authorized official

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1255064465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 E KINGS AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222900",
            "telephone_number": "602-218-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 E KINGS AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222900",
            "telephone_number": "602-218-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINANLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "SERONEI",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-398-9295"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinan Behavioral health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kinan Behavoral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alecia Kimes, LMSW
• Rachael Ann Kimes, NP
• Kimiko Management, LLC
• Jaclyn R Kimmel, LPC
• Bruce James Kimura
• Julie Kinback
• Allyssa Nicole Kincade, FNP-C
• Michael L Kincaid, DDS
• Elita Kincaide
• Jacqueline Kincer, IBCLC, COMC, ISE

• Mental Illness Community Based Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.