Kona Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL6681 Issued in FL

Legal business name

KONA ALF LLC

Practice address

9225 82ND Ave
Seminole, FL 33777-2821

Phone

(727) 397-7272

Fax

(727) 319-3903

NPI assigned

Apr 17, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Chirag Amin, RPH

Title

Owner

Phone

(813) 967-3808

Specialties & licenses 1

Addresses

Other names 1

• The Villas Of Casa Celeste Doing business as

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1740777564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8447 DUNHAM STATION DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473339",
            "telephone_number": "813-967-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 82ND AVE",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337772821",
            "telephone_number": "727-397-7272",
            "fax_number": "727-319-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONA ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-967-3808",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL6681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Villas Of Casa Celeste",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Villas Of Casa Celeste",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lance Scott Kittay, MPT
• Ryan Andrew Klepko, DC
• Laura Ann Koberda
• Alisha Marie Koch
• Douglas L Kole, D.C.
• Sofia Konstantinidis
• Jason Marc Kopakin, D.M.D.
• Kozak P T & Assoc Inc
• John Andrew Kozak, PT
• Nancy Kozak, P.T.

• Assisted Living Facility in Seminole, FL
• Providers in Seminole, 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 Apr 17, 2018; 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.