Evita King, STANDARD CARE ALF

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

7096 Issued in FL

Practice address

2233 McKinley St
Hollywood, FL 33020-3054

Phone

(954) 922-0808

Fax

(954) 922-0882

NPI assigned

Sep 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Rita Martin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Together Homes, LLC.

  dba Camelot Court

  • Assisted Living Facility
  • Hollywood, FL
  • NPI 1902417041
  NPD Authorized official

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544227200000",
    "number": "1508349838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 MCKINLEY ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330203054",
            "telephone_number": "954-922-0808",
            "fax_number": "954-922-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 MCKINLEY ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330203054",
            "telephone_number": "954-922-0808",
            "fax_number": "954-922-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "EVITA",
        "name_prefix": "Mrs.",
        "credential": "STANDARD CARE ALF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "7096",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "7096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100938600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITA",
            "last_name": "MARTIN",
            "prefix": "MRS.",
            "credential": "CAMELOT COURT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kindred Hospitals East, LLC (Kindred Hospital - South Florida - Hollywood SAU)
• Kindred Hospitals East, LLC (Kindred Hospital - South Florida - Hollywood)
• Vanessa D King-Smith, APRN
• Derek King, MD
• Emily King, M.D.
• Kinga E. Rogowska, D.D.S., P.a.
• Kelsey Lynne Kinsella
• Joy Kirby
• Laurie Anne Kirchmier, CRNA
• Carissa Kirkus, PHARM.D.

• Assisted Living Facility in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2018; 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.