J & K Assisted Living II

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

J & K ASSISTED LIVING II

Practice address

256 Barbarossa Rd NW
Palm Bay, FL 32907-1809

Phone

(321) 704-0053

Fax

(321) 345-4297

NPI assigned

Oct 25, 2024

Last updated

Oct 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ketlie Elie, ADMINISTRATOR

Title

Administrator

Phone

(321) 704-0053

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1609698315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 BARBAROSSA RD NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071809",
            "telephone_number": "321-704-0053",
            "fax_number": "321-345-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 BARBAROSSA RD NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071809",
            "telephone_number": "321-704-0053",
            "fax_number": "321-345-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & K ASSISTED LIVING II",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "ELIE",
        "authorized_official_first_name": "KETLIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-704-0053",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramon Isales, M.D.
• David Dominic Isnardi II, PMHNP
• Farhan Rashid Israr, D.O
• Ivory Homecare LLC (Ivory Healthcare Solutions)
• Franchesca Izquierdo
• J & K Assisted Living Inc
• J & K Assisted Living,Inc
• Jacked DMD, PLLC
• Jackies Retirement LLC (Jackies retirement alf)
• Keith Jackman

• Assisted Living Facility in Palm Bay, FL
• Providers in Palm Bay, 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 25, 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.