Kozie Kottage Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12633 Issued in FL

Legal business name

KOZIE KOTTAGE ALF, LLC

Practice address

12576 54TH St North
West Palm Beach, FL 33411

Phone

(561) 236-9100

NPI assigned

Sep 2, 2016

Organization subpart

No

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

Authorized official

Name

Wendy Reyes

Title

Administrator

Phone

(561) 236-9100

Specialties & licenses 1

Addresses

Tax ID family

Kozie Kottage Alf LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kozie Kottage LLC

  • Adult Care Home Facility
  • West Palm Beach, FL
  • NPI 1609215938
  NPD tax ID

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1881141190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12576 54TH ST NORTH",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12576 54TH ST NORTH",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33411",
            "telephone_number": "561-236-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOZIE KOTTAGE ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-236-9100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Kovacs, BA
• Gyula Kovacs
• Teresa A Kowalczyk-Vitous, DNP.ARNP
• Casey Yu Kozan
• Selina Kozan, APRN
• Kozie Kottage LLC
• Tamara J Kralick, LMT, CLT
• Olivia Kralik, OTR/L
• Rebecca A Kramer
• Karen Lundell Kramser, MS, RDN

• Assisted Living Facility in West Palm Beach, FL
• Providers in West Palm Beach, 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 Sep 2, 2016; 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.