Kisslee, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KISSLEE, LLC

Practice address

2720 SW 6TH CT
Fort Lauderdale, FL 33312-2139

Phone

(954) 530-3360

NPI assigned

Nov 26, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jason Kissoonlal

Title

Administrator

Phone

(954) 523-1543

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tender Care ALF Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1912477696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 SW 6TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122139",
            "telephone_number": "954-523-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 SW 6TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122139",
            "telephone_number": "954-530-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISSLEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "KISSOONLAL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-523-1543",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100048400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tender Care ALF",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tender Care ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexa Kishel, PA
• Kishner & Calise P a
• Richard N Kishner, MD
• Kiskeya Investment Group LLC
• Kiskeya Investment Group LLC
• Doan Kistner, RPT
• Doris Kitchen, SW
• Jennifer E Kitchens
• Dawn Kladis
• Kurt C Klein, P.T.

• Assisted Living Facility in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.