Organization Active NPI

K&R Glowing Pride Residential Services of Florida LLC

Doing business as K&R Glowing Pride Residential Services of Florida

  • In Home Supportive Care Agency
  • Longwood, FL
National Provider Identifier
1598443103
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
K&R GLOWING PRIDE RESIDENTIAL SERVICES OF FLORIDA LLC
Doing business as
K&R Glowing Pride Residential Services of Florida
Practice address
254 S Ronald Reagan Blvd Ste 128
Longwood, FL 32750-5491
Phone
(317) 517-7688
NPI assigned
Jul 5, 2023
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Keyana RiceNPI 1003620162
Title
Ceo/ Operation Owner
Phone
(317) 517-7688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

254 S Ronald Reagan Blvd Ste 128
Longwood, FL 32750-5491

Mailing address

254 S Ronald Reagan Blvd Ste 128
Longwood, FL 32750-5491
Phone (317) 517-7688

Other names 1

  • K&R Glowing Pride Residential Services of Florida Doing business as

National Provider Directory

National Provider Directory

Locations

254 S Ronald Reagan Blvd
Ste 128
Longwood, FL 32750
Phone (317) 517-7688

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1598443103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 S RONALD REAGAN BLVD STE 128",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505491",
            "telephone_number": "317-517-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 S RONALD REAGAN BLVD STE 128",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505491",
            "telephone_number": "317-517-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&R GLOWING PRIDE RESIDENTIAL SERVICES OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "KEYANA",
        "authorized_official_title_or_position": "CEO/ OPERATION OWNER",
        "authorized_official_telephone_number": "317-517-7688"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K&R Glowing Pride Residential Services of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.