KBL Manor Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL9516 Issued in FL

Legal business name

KBL MANOR INC.

Practice address

16100 SW 101St Ave
Miami, FL 33157-3216

Phone

(305) 251-4123

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Kadie Lee

Title

Administrator

Phone

(305) 251-4123

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. Joseph ALF Doing business as

Tax ID family

KBL Manor Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• KBL Manor Inc

  • Assisted Living Facility (Mental Illness)
  • Miami, FL
  • NPI 1144463894
  NPD tax ID

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1336440189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 SW 101ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331573216",
            "telephone_number": "305-251-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SW 101ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331573216",
            "telephone_number": "305-251-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBL MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KADIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-251-4123",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL9516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142418100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kazo Mental Health Services LLC
• Kazoul 125 General Carpentry Inc
• Kazzara Services LLC
• KB Group Home Galliano, LLC
• KBL Manor Inc
• KC Medical Services LLC
• Cathleen Renee Kealey, PMHNP-BC
• Kailani Kealoha
• Florence Keane, ARNP
• Lauren Ivonn Kearns

• Assisted Living Facility (Mental Illness) in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.