BKK SERVICE OF CENTRAL FLORIDA, INC (NPI# 1023269354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023269354 |
Entity Type | Organization |
Organization Name | BKK SERVICE OF CENTRAL FLORIDA, INC |
Other Organization Name | COMFORT KEEPERS |
Practice Address |
902 S Florida Ave Suite 201 Lakeland FL 33803-1183 |
Practice Telephone | 8637019100 |
Practice Fax Number | 8636448077 |
Mailing Telephone | 8637019100 |
Mailing Fax Number | 8636448077 |
Enumeration Date | 2008-10-06 |
Last Update Date | 2018-04-17 |
Authorized Official Name | TRACY DEAN KELLEY (CEO) |
Authorized Official Telephone | 8637019100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 253Z00000X | In Home Supportive Care | 228316 | FL | Agencies |
N | 253Z00000X | In Home Supportive Care | 229362 | FL | Agencies |
N | 253Z00000X | In Home Supportive Care | 230019 | FL | Agencies |
Y | 251E00000X | Home Health | 299992766 | FL | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 000765900 | 05 |
Other Name | Type Code |
---|---|
Comfort Keepers | Doing Business As Name - Organization |
Street Address |
902 S FLORIDA AVE SUITE 201 |
City | LAKELAND |
State | FL |
Zip Code | 33803-1183 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
Find all providers in zip 33803 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285243105 | K.c. Home Health LLC | Home Health | 6635 S Florida Ave # C-1, Lakeland, FL 33813-3354 | 2020-07-27 |
1184264574 | Raquelita Dejesus | Home Health | 5545 Wilmington Cir Apt 207, Lakeland, FL 33813-2769 | 2020-01-14 |
1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
1316502735 | Tabitha Leondra Bailey | Home Health | 1710 Kendrick Ln, Lakeland, FL 33805-2506 | 2019-05-01 |
1346708161 | Corentheia Ann Milton | Home Health | 617 W Robson St, Lakeland, FL 33805-2138 | 2019-03-11 |
1679044234 | Flamingo Homecare LLC | Home Health | 1215 Duncan Ave, Lakeland, FL 33801-5923 | 2018-12-07 |
1679066989 | Heavenly Hearts Home Care Services, LLC | Home Health | 3567 Manor Loop, Lakeland, FL 33810-1382 | 2018-06-11 |
1235635681 | Ariel Kyndal Fagins | Home Health | 1725 N Webster Ave, Lakeland, FL 33805-2625 | 2018-04-04 |
1851802284 | Sonya Branch | Home Health | 616 Emma St, Lakeland, FL 33815-1418 | 2017-10-12 |
1053845875 | Precious Life Care Private Duty | Home Health | 1104 Bartow Rd, Lakeland, FL 33801-5850 | 2017-04-18 |
Find all providers in LAKELAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.