Kozie Kottage LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906562 Issued in FL

Legal business name

KOZIE KOTTAGE LLC

Practice address

12576 54TH St N
West Palm Beach, FL 33411-8512

Phone

(561) 236-9100

NPI assigned

Jun 19, 2013

Organization subpart

No

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

Authorized official

Name

Miss Wendy Rosemarie Reyes

Title

Administrator

Phone

(561) 236-9100

Specialties & licenses 1

Addresses

Tax ID family

Kozie Kottage Alf LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kozie Kottage Alf, LLC

  • Assisted Living Facility
  • West Palm Beach, FL
  • NPI 1881141190
  NPD tax ID

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1609215938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12576 54TH ST N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334118512",
            "telephone_number": "561-236-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12576 54TH ST N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334118512",
            "telephone_number": "561-236-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOZIE KOTTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "ROSEMARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-236-9100",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gyula Kovacs
• Teresa A Kowalczyk-Vitous, DNP.ARNP
• Casey Yu Kozan
• Selina Kozan, APRN
• Kozie Kottage Alf, LLC
• Tamara J Kralick, LMT, CLT
• Olivia Kralik, OTR/L
• Rebecca A Kramer
• Karen Lundell Kramser, MS, RDN
• Barbara A. Krantz, D.O.

• Adult Care Home Facility in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.