Organization Active NPI

Kevin Family Home LLC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1720757826
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
KEVIN FAMILY HOME LLC
Practice address
7020 SW 107 Ave
Miami, FL 33173
Phone
(305) 598-9610
Fax
(786) 485-3030
NPI assigned
Sep 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Mileydis Espino
Title
Owner
Phone
(786) 257-9545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7020 SW 107 Ave
Miami, FL 33173

Mailing address

7020 SW 107 Ave
Miami, FL 33173
Phone (305) 598-9610

Other identifiers 1

IdentifierTypeStateIssuer
9874OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1720757826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 SW 107 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33173",
            "telephone_number": "305-598-9610",
            "fax_number": "786-485-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 SW 107 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33173",
            "telephone_number": "305-598-9610",
            "fax_number": "786-485-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2024-10-16",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "ESPINO",
        "authorized_official_first_name": "MILEYDIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-257-9545"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "9874",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.