Individual provider Active NPI

Ricki Kaneti

  • Assisted Living Facility
  • Boca Raton, FL
National Provider Identifier
1891675732
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
7352 Issued in FL
Practice address
1080 NW 15TH St
Boca Raton, FL 33486-1331
Phone
(954) 600-6333
NPI assigned
Sep 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 7352 FL Primary

Addresses

Primary practice location

1080 NW 15TH St
Boca Raton, FL 33486-1331

Mailing address

4901 NW 17TH Way Ste 303
Fort Lauderdale, FL 33309-3772
Phone (954) 600-6333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7352FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colonial Skilled Nursing Facility, LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1891675732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 NW 17TH WAY STE 303",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093772",
            "telephone_number": "954-600-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 NW 15TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861331",
            "telephone_number": "954-600-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANETI",
        "first_name": "RICKI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "7352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.