Aaron J Smith & Sophia Kibuismith

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

AARON J SMITH & SOPHIA KIBUISMITH

Practice address

4811 5TH Ave S
St Petersburg, FL 33711-1421

Phone

(650) 440-0022

NPI assigned

Oct 23, 2023

Last updated

Oct 23, 2023By 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

Aaron J SmithNPI 1568142537

Title

Manager

Phone

(650) 440-0022

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron J Smith

  • Adult Care Home Facility
  • St Petersburg, FL
  • NPI 1568142537
  Authorized official Same address or phone

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1992577175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 5TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111421",
            "telephone_number": "650-440-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 5TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111421",
            "telephone_number": "650-440-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON J SMITH & SOPHIA KIBUISMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "650-440-0022"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.