Active NPI
Ken Care Services Inc.
- In Home Supportive Care Agency
- Hollywood, FL
National Provider Identifier
1821760489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- KEN CARE SERVICES INC.
- Practice address
- 5740 Sheridan St
Hollywood, FL 33021-3251 - Phone
- (754) 221-0107
- Fax
- (954) 874-8005
- NPI assigned
- Oct 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jones Olowoniyi
- Title
- Administrator
- Phone
- (754) 221-0107
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
5740 Sheridan St
Hollywood, FL 33021-3251
Mailing address
5740 Sheridan St
Hollywood, FL 33021-3251
Phone (754) 221-0107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022359203 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Ken Care Services Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Hollywood, FL
- NPI 1003588666
-
- In Home Supportive Care Agency
- Hollywood, FL
- NPI 1336895846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644537600000",
"number": "1821760489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5740 SHERIDAN ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213251",
"telephone_number": "754-221-0107",
"fax_number": "954-874-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5740 SHERIDAN ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213251",
"telephone_number": "754-221-0107",
"fax_number": "954-874-8005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEN CARE SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-01",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A",
"authorized_official_last_name": "OLOWONIYI",
"authorized_official_first_name": "JONES",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "754-221-0107"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022359203",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.