KNG Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KNG SENIOR LIVING, LLC

Practice address

12320 NW 13TH Ave
North Miami, FL 33167-2302

Phone

(786) 457-3001

Fax

(786) 457-3001

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Nirva Alexis, LPN

Title

Administrator

Phone

(786) 457-3001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1548022908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 NW 13TH AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331672302",
            "telephone_number": "786-457-3001",
            "fax_number": "786-457-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 NW 13TH AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331672302",
            "telephone_number": "786-457-3001",
            "fax_number": "786-457-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNG SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "ALEXIS",
        "authorized_official_first_name": "NIRVA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-457-3001",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in North Miami, FL
• Providers in North Miami, 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 Jan 30, 2024; 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.