Kew Wellness Center 1, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KEW WELLNESS CENTER 1, LLC

Practice address

6333 Langston Ave
New Port Richey, FL 34653-1014

Phone

(727) 846-8487

NPI assigned

Oct 23, 2020

Organization subpart

No

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

Authorized official

Name

Michelle Wilger

Title

President

Phone

(904) 386-6636

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1609475292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1793 EAGLE CREST DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 LANGSTON AVE",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346531014",
            "telephone_number": "727-846-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEW WELLNESS CENTER 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "WILGER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-386-6636"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara M Kennedy, LMHC, LPC, MS CMHC
• Shannon Kennedy
• Amber Kennison
• Kernaghan and Moore: Speech and Language Therapy Services, Inc.
• Kelly Irene Kernaghan, MS, CCC/SLP
• Kew Wellness Center 2, LLC
• Kew Wellness Center, LLC
• Khaja Zaki MD LLC
• Sherief Nabil Khalil, MD
• Qayyum Abbas Khambaty, BDS

• Assisted Living Facility in New Port Richey, FL
• Providers in New Port Richey, 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 Oct 23, 2020; 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.