Kona 66 LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL13197 Issued in FL

Legal business name

KONA 66 LLC

Doing business as

KONA GARDENS ASSISTED LIVING FACILITY

Practice address

3200 66TH St N
St Petersburg, FL 33710-1511

Phone

(727) 914-3012

Fax

(727) 914-3013

NPI assigned

Jul 23, 2018

Organization subpart

No

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

Authorized official

Name

Chirag Amin, RPH

Title

Owner

Phone

(813) 967-3808

Specialties & licenses 1

Addresses

Other names 1

• KONA GARDENS ASSISTED LIVING FACILITY Doing business as

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1841777919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8447 DUNHAM STATION DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473339",
            "telephone_number": "813-967-3808",
            "fax_number": "813-435-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101511",
            "telephone_number": "727-914-3012",
            "fax_number": "727-914-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONA 66 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-967-3808",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL13197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KONA GARDENS ASSISTED LIVING FACILITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Joan Koler, MD
• Rachel A Kollar, LMHC
• Robyn Marie Kolodziej, M.ED. R.B.T.
• Demetrios John Kolovos, PHARMD
• Tejal Kolwankar
• Kona Gardens LLC
• Natasa Koncar, PHARMD
• Gianna Kondzielawa
• Alexandria S. Kongsiri, M.D.
• Katia Konicek-Stetor, APRN

• Assisted Living Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.