Active NPI
Kiros New Horizons
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Jacksonville, FL
National Provider Identifier
1871783001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- KIROS NEW HORIZONS
- Practice address
- 10903 Whitly CT
Jacksonville, FL 32246-2484 - Phone
- (904) 312-2965
- NPI assigned
- Jul 25, 2007
- 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
- Dr. Cyclyn R Smith-Mobley
- Title
- President/ Ceo
- Phone
- (904) 327-5559
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | FL | Primary | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | FL |
Addresses
Primary practice location
10903 Whitly CT
Jacksonville, FL 32246-2484
Mailing address
12739 Serenade Cir N
Jacksonville, FL 32225-3958
Phone (904) 312-2965
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185321600000",
"number": "1871783001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12739 SERENADE CIR N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322253958",
"telephone_number": "904-312-2965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10903 WHITLY CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322462484",
"telephone_number": "904-312-2965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIROS NEW HORIZONS",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-25",
"last_updated": "2007-07-25",
"status": "A",
"authorized_official_last_name": "SMITH-MOBLEY",
"authorized_official_first_name": "CYCLYN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT/ CEO",
"authorized_official_telephone_number": "904-327-5559",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.