Kimberly L Jenkins I

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

00483595 Issued in NY

Practice address

226 Beach 98TH St # 3
Rockaway Park, NY 11694-2849

Phone

(718) 569-0508

Fax

(833) 318-2363

NPI assigned

Apr 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Serenity Comfort Care & Family Services

  • Home Health Agency
  • Rockaway Park, NY
  • NPI 1902460843
  NPD (past) Authorized official

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1285298463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 BEACH 98TH ST # 3",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942849",
            "telephone_number": "718-569-0508",
            "fax_number": "833-318-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 BEACH 98TH ST # 3",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942849",
            "telephone_number": "718-569-0508",
            "fax_number": "833-318-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "00483595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00483595",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brigitte Iwanicki, MSED
• Catherine Jamin, MD
• Yvonne Jankie, L.M.T
• Jay K. Mehlman, MD, PC
• Jeffrey F Zwerling MD PC
• Jennifer Smith Psychologist PC
• John J Schilling DPM PC
• Carmelite Marie Joseph-Jules, RPH
• Lauren Judge
• Junear H. Rajwant Occupational Therapist, P.C.

• Home Health Agency in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.