CK Group Home, Inc.
Organization Active NPI Assisted Living Facility · Opa Locka, FL
NPI 1811258254 · NPPES record last updated Sep 8, 2025
Key facts
- NPI
- 1811258254
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 230393 (FL)
- Legal business name
- CK GROUP HOME, INC.
- Practice address
- 19431 NW 23Rd CT
Opa Locka, FL 33056-2653 - Phone
- (305) 788-1836
- NPI assigned
- Jun 1, 2012
- Organization subpart
- No
Authorized official
- Name
- Katena Broussard
- Title
- Owner
- Phone
- (305) 788-1836
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 230393 | FL | Yes |
Addresses
Primary practice location
19431 NW 23Rd CT
Opa Locka, FL 33056-2653
Mailing address
19431 NW 23Rd CT
Opa Locka, FL 33056-2653
Phone (305) 788-1836
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230393 | Other | FL | LICENSE |
Other providers in Opa Locka, FL
- Laila F Chagani
- Chen Neighborhood Medical Centers of South Florida LLC
- Gordon Lee Chen
- Toccara E Christia
- CJ Medical Supplies Inc
- Candice Clark
- Tiffany L Cobb
- Adialys Colina
- Community Life Support,Inc
- Cheryl Comrie
All providers in Opa Locka, FL · Assisted Living Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.