Organization Active NPI

Kings Comfort Care

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Tampa, FL
National Provider Identifier
1669063871
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
KINGS COMFORT CARE
Practice address
4411 Perch St
Tampa, FL 33617-8207
Phone
(407) 405-8101
NPI assigned
Jan 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2021

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

Authorized official

Name
Analisa Junior
Title
Owner
Phone
(407) 405-8101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

4411 Perch St
Tampa, FL 33617-8207

Mailing address

11619 Mandevilla View Way
Riverview, FL 33579-1819
Phone (407) 405-8101

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611964800000",
    "number": "1669063871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11619 MANDEVILLA VIEW WAY",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335791819",
            "telephone_number": "407-405-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 PERCH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336178207",
            "telephone_number": "407-405-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS COMFORT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-30",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A",
        "authorized_official_last_name": "JUNIOR",
        "authorized_official_first_name": "ANALISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-405-8101"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; 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.