Kim One Family Type Homes for Adults

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KIM ONE FAMILY TYPE HOMES FOR ADULTS

Practice address

361 California Ave
Uniondale, NY 11553-1857

Phone

(516) 489-1734

Fax

(631) 260-1850

NPI assigned

Oct 26, 2020

Last updated

Oct 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimone Isaacs

Title

Partner

Phone

(516) 489-1734

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1457950966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 CALIFORNIA AVE",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115531857",
            "telephone_number": "516-489-1734",
            "fax_number": "631-260-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 CALIFORNIA AVE",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115531857",
            "telephone_number": "516-489-1734",
            "fax_number": "631-260-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM ONE FAMILY TYPE HOMES FOR ADULTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "ISAACS",
        "authorized_official_first_name": "KIMONE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "516-489-1734"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne M. Kelly, M.D.
• Mirta H Kennedy, RN
• Yvonne Kennedy
• Lisa Kenny
• Afra H Khan, B.PHARM
• Lana Kleynerman, M.D.
• Jacquelyn Saffie Koroma, LCSW
• Susan Krenitsky
• Richard Krugley, MD
• Tayna Labissiere, PA

• Assisted Living Facility in Uniondale, NY
• Providers in Uniondale, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.