Keemys Gifted Services & More LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KEEMYS GIFTED SERVICES & MORE LLC

Practice address

4624 NE 141St Ave
Williston, FL 32696-6277

Phone

(352) 304-2818

NPI assigned

Dec 10, 2020

Last updated

Dec 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shakeem Johnson

Title

Owner

Phone

(352) 304-2818

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607817600000",
    "number": "1952907206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 NE 141ST AVE",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326966277",
            "telephone_number": "352-304-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 NE 141ST AVE",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326966277",
            "telephone_number": "352-304-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEMYS GIFTED SERVICES & MORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHAKEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-304-2818"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Williston, FL
• Providers in Williston, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; 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.