Organization Active NPI

Kat Sober Living LLC.

  • Substance Abuse Rehabilitation Facility
  • Deerfield Beach, FL
National Provider Identifier
1417378407
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
10D2069693 Issued in FL
Legal business name
KAT SOBER LIVING LLC.
Practice address
1420 SW 7TH Ter
Deerfield Beach, FL 33441-6447
Phone
(954) 213-4282
NPI assigned
Dec 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Authorized official

Name
Mr. Kenneth Davis
Title
Co-Founder
Phone
(954) 213-4292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 10D2069693 FL Primary

Addresses

Primary practice location

1420 SW 7TH Ter
Deerfield Beach, FL 33441-6447

Mailing address

1660 SW 8TH Ave
Boca Raton, FL 33486-6923
Phone (954) 213-4292

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1417378407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 SW 8TH AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334866923",
            "telephone_number": "954-213-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SW 7TH TER",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334416447",
            "telephone_number": "954-213-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAT SOBER LIVING LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "954-213-4292",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "10D2069693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.