Organization Active NPI

Kuckamy, Inc.

  • Homemaker
  • Coral Springs, FL
National Provider Identifier
1548639016
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
KUCKAMY, INC.
Practice address
12350 W Sample Rd
Coral Springs, FL 33065-8021
Phone
(954) 803-7192
NPI assigned
Sep 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Claire CJ Etienne, BSCE, MSCE
Title
Executive Director Assistant
Phone
(954) 803-7192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

12350 W Sample Rd
Coral Springs, FL 33065-8021

Mailing address

12350 W Sample Rd
Coral Springs, FL 33065-8021
Phone (954) 803-7192

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1548639016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12350 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330658021",
            "telephone_number": "954-803-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12350 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330658021",
            "telephone_number": "954-803-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUCKAMY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "CJ",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR ASSISTANT",
        "authorized_official_telephone_number": "954-803-7192",
        "authorized_official_credential": "BSCE, MSCE"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.