Organization Active NPI

Linda Keddy Services Inc

  • Adult Care Home Facility
  • Stuart, FL
National Provider Identifier
1962846469
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
6906554 Issued in FL
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

Updated by the provider on Apr 26, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6906554OtherFLSTATE OF FLORIDA ADULT FAMILY CARE HOME

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.