J & K Adult Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

J & K ADULT CARE HOME

Practice address

233 S 5TH Ave
Mount Vernon, NY 10550-3829

Phone

(914) 309-8923

NPI assigned

Mar 3, 2016

Organization subpart

No

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

Authorized official

Name

Kimberly Stanley

Title

LPN

Phone

(914) 309-8923

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1528428547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S 5TH AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503829",
            "telephone_number": "914-309-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S 5TH AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503829",
            "telephone_number": "914-309-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & K ADULT CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "914-309-8923"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lovina Inwang, LPN
• Francis O. Ipaye, PT
• Gary Ishkanian
• Mariam Issa, PHARMD
• Alicia Ivey, RN
• Heidi Jackson Brown, LPN
• Mama Jaiteh
• Anetta Emelita James
• Heather James
• Inez James, LMSW

• Adult Care Home Facility in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Adult Care Home Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.