Organization Active NPI

Kiawah, LLC

Doing business as Griswold Home Care-Boynton/Delray

  • In Home Supportive Care Agency
  • Boca Raton, FL
National Provider Identifier
1912332826
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KIAWAH, LLC
Doing business as
Griswold Home Care-Boynton/Delray
Practice address
2200 N Federal Hwy
Suite 212
Boca Raton, FL 33431-7766
Phone
(561) 218-4391
Fax
(561) 298-4527
NPI assigned
Sep 10, 2013
Last updated
Sep 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Mr. Joseph Mandala, C.S.A
Title
President
Phone
(732) 236-5968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

2200 N Federal Hwy
Suite 212
Boca Raton, FL 33431-7766

Mailing address

2 Colonial CT
Plainsboro, NJ 08536-3113
Phone (732) 236-5968

Other names 1

  • Griswold Home Care-Boynton/Delray Doing business as

National Provider Directory

National Provider Directory

Locations

2200 N Federal Hwy
Ste 212
Boca Raton, FL 33431
Phone (561) 218-4391

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1912332826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COLONIAL CT",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085363113",
            "telephone_number": "732-236-5968",
            "fax_number": "609-799-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N FEDERAL HWY",
            "address_2": "SUITE 212",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317766",
            "telephone_number": "561-218-4391",
            "fax_number": "561-298-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIAWAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "MANDALA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-236-5968",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.S.A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Griswold Home Care-Boynton/Delray",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 10, 2013; 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.