Organization Active NPI

Kella Homes LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Homestead, FL
National Provider Identifier
1528296654
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
691670896 Issued in FL
Legal business name
KELLA HOMES LLC
Practice address
27153 SW 134TH CT
Homestead, FL 33032-7782
Phone
(786) 752-0235
Fax
(786) 206-3815
NPI assigned
Jun 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Mr. Michel Gonzalez
Title
President
Phone
(786) 752-0235

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 691670896 FL Primary
TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 374700000X EMT300255 FL

Addresses

Primary practice location

27153 SW 134TH CT
Homestead, FL 33032-7782

Mailing address

27153 SW 134TH CT
Homestead, FL 33032-7782
Phone (786) 752-0235

Other identifiers 2

IdentifierTypeStateIssuer
691670896MedicaidFL
003174600MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1528296654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27153 SW 134TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330327782",
            "telephone_number": "786-752-0235",
            "fax_number": "786-206-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27153 SW 134TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330327782",
            "telephone_number": "786-752-0235",
            "fax_number": "786-206-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLA HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-752-0235",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "691670896",
            "primary": true
        },
        {
            "code": "374700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician",
            "state": "FL",
            "license": "EMT300255",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691670896",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003174600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.