The Kenkou Group - South, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

THE KENKOU GROUP - SOUTH, LLC

Practice address

4700 Millenia Blvd
Suite 175
Orlando, FL 32839-6013

Phone

(407) 810-7617

NPI assigned

May 12, 2014

Organization subpart

Yes

Parent organization

THE KENKOU GROUP, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Gregory Edouard

Title

Cfo

Phone

(917) 299-4393

Specialties & licenses 1

Addresses

Part of

The Kenkou Group

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1538570676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 MILLENIA BLVD",
            "address_2": "SUITE 175",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396013",
            "telephone_number": "407-810-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 MILLENIA BLVD",
            "address_2": "SUITE 175",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396013",
            "telephone_number": "407-810-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KENKOU GROUP - SOUTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE KENKOU GROUP, LLC",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "EDOUARD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "917-299-4393",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.