Active NPI
Linda Keddy Services Inc
- Adult Care Home Facility
- Stuart, FL
National Provider Identifier
1962846469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 6906554
- Legal business name
- LINDA KEDDY SERVICES INC
- Practice address
- 5275 SE Channel Dr
Stuart, FL 34997-3328 - Phone
- (772) 287-8583
- Fax
- (772) 266-4491
- NPI assigned
- Apr 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Linda Faye Keddy
- Title
- Owner
- Phone
- (772) 287-8583
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 6906554 | FL | Primary |
Addresses
Primary practice location
5275 SE Channel Dr
Stuart, FL 34997-3328
Mailing address
5275 Channel Dr
Stuart, FL 34997
Phone (772) 287-8583
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6906554 | Other | FL | STATE OF FLORIDA ADULT FAMILY CARE HOME |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366934400000",
"number": "1962846469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5275 CHANNEL DR",
"city": "STUART",
"state": "FL",
"postal_code": "34997",
"telephone_number": "772-287-8583",
"fax_number": "772-266-4491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5275 SE CHANNEL DR",
"city": "STUART",
"state": "FL",
"postal_code": "349973328",
"telephone_number": "772-287-8583",
"fax_number": "772-266-4491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDA KEDDY SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-26",
"last_updated": "2013-04-26",
"status": "A",
"authorized_official_last_name": "KEDDY",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "FAYE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "772-287-8583",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "FL",
"license": "6906554",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA ADULT FAMILY CARE HOME",
"identifier": "6906554",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.