Active NPI
Keadee Emergency Ministries Intervention
- Rehabilitation Clinic/Center
- Riverview, FL
National Provider Identifier
1821770694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- KEADEE EMERGENCY MINISTRIES INTERVENTION
- Doing business as
- Keadee Emergency Ministries Intervention
- Practice address
- 13119 Fennway Ridge Dr
Riverview, FL 33579-7160 - Phone
- (813) 313-6013
- NPI assigned
- Aug 2, 2023
- Last updated
- Aug 2, 2023
- 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
- Margaret Olajide
- Title
- Owner
- Phone
- (813) 313-6013
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | NU | ||
| Rehabilitation Clinic/Center | 261QR0400X | NU | Primary | |
| Foster Care Agency | 253J00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | ||
| Religious Nonmedical Practitioner | 374K00000X | NU |
Addresses
Primary practice location
13119 Fennway Ridge Dr
Riverview, FL 33579-7160
Mailing address
13119 Fennway Ridge Dr
Riverview, FL 33579-7160
Phone (813) 313-6013
Other names 1
- Keadee Emergency Ministries Intervention
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690934400000",
"number": "1821770694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13119 FENNWAY RIDGE DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335797160",
"telephone_number": "813-313-6013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13119 FENNWAY RIDGE DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335797160",
"telephone_number": "813-313-6013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEADEE EMERGENCY MINISTRIES INTERVENTION",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-02",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A",
"authorized_official_last_name": "OLAJIDE",
"authorized_official_first_name": "MARGARET",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-313-6013"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "374K00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Keadee Emergency Ministries Intervention",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.