Organization Active NPI

Kairos Wellness Center Inc

  • Physical Therapy Clinic/Center
  • Homestead, FL
National Provider Identifier
1952168445
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KAIROS WELLNESS CENTER INC
Practice address
100 NE 15TH St Ste 209
Homestead, FL 33030-4581
Phone
(954) 495-1353
NPI assigned
Mar 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Juan Miguel Fonseca Araya
Title
President
Phone
(954) 495-1353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

100 NE 15TH St Ste 209
Homestead, FL 33030-4581

Mailing address

100 NE 15TH St Ste 209
Homestead, FL 33030-4581
Phone (954) 495-1353

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1952168445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NE 15TH ST STE 209",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304581",
            "telephone_number": "954-495-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE 15TH ST STE 209",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304581",
            "telephone_number": "954-495-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "FONSECA ARAYA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-495-1353"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.