Kuku 4 Coco Beach, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KUKU 4 COCO BEACH, LLC

Practice address

97 W Oak Ave
Panama City, FL 32401-2735

Phone

(850) 661-0362

NPI assigned

Jun 22, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Kurt BowmanNPI 1144996091

Title

Owner

Phone

(850) 661-0362

Specialties & licenses 1

Addresses

Other names 1

• SYNERGY HOMECARE OF PANAMA CITY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kurt Bowman

  • Home Health Aide
  • Tallahassee, FL
  • NPI 1144996091
  NPD Authorized official

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1811673189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5153 HOLLY FERN TRCE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323127583",
            "telephone_number": "850-251-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 W OAK AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012735",
            "telephone_number": "850-661-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUKU 4 COCO BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-661-0362",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYNERGY HOMECARE OF PANAMA CITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra B Krowitz, M.A.
• Krzysztof T Lewandowski MD
• Kuchta Counseling, Inc.
• Robert Matthew Kuchta, LCSW
• Kelly A Kugler, LMHC
• Kevin W Kulow, MD
• Daniel Nicholas Kulund, M.D.
• Kun Frank Lu MD PA
• Maryanne Kupres
• Kenneth Kwarteng

• In Home Supportive Care Agency in Panama City, FL
• Providers in Panama City, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.