Kimmie's Recovery Zone Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

KIMMIE'S RECOVERY ZONE INC.

Practice address

1421 Jefferson Ave
Fort Myers, FL 33901-8438

Phone

(239) 872-0071

NPI assigned

Apr 14, 2021

Last updated

Apr 14, 2021By 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

Mr. Julius A Kinkle Sr., CPRS

Title

Chairman

Phone

(239) 872-0071

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1780264572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 GLADIOLUS PRESERVE CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 JEFFERSON AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018438",
            "telephone_number": "239-872-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMMIE'S RECOVERY ZONE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "KINKLE",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "239-872-0071",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CPRS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Kwangsoo Kim, M.D.
• Min Jee Kim, PHARMD
• Tyler Wayne Kimberlin, LMT
• Kimberly Regenesis
• Nia Kimbrough
• Rebecca Kimpel, M.D.
• Richard Kinder, MD
• Kinetics Medical Center LLC
• Deshy Kinfu, PT
• Alena R King

• Case Management Agency in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.