Active NPI
Kimberly Corner
- Adult Care Home Facility
- Pensacola, FL
National Provider Identifier
1972011708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 6906939
- Practice address
- 7138 Glendora St
Pensacola, FL 32526 - Phone
- (850) 356-5699
- NPI assigned
- Jan 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 6906939 | FL | Primary |
Addresses
Primary practice location
7138 Glendora St
Pensacola, FL 32526
Mailing address
7138 Glendora St
Pensacola, FL 32526-2740
Phone (850) 356-5699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6906939 | FL | MD | Adult Care Home Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Home Just for You, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Day Care Clinic/Center
- Pensacola, FL
- NPI 1558868513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1972011708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7138 GLENDORA ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325262740",
"telephone_number": "850-356-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7138 GLENDORA ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32526",
"telephone_number": "850-356-5699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNER",
"first_name": "KIMBERLY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-15",
"last_updated": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "FL",
"license": "6906939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.