KISMETS & REBELS, LLC (NPI# 1114410149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114410149 |
Entity Type | Organization |
Organization Name | KISMETS & REBELS, LLC |
Practice Address |
9609 Simeon Dr Land O Lakes FL 34638-6923 |
Practice Telephone | 8134607767 |
Mailing Telephone | 8134607767 |
Enumeration Date | 2018-06-13 |
Last Update Date | 2018-06-13 |
Authorized Official Name | KESHELL ALVIES (OWNER) |
Authorized Official Telephone | 8134607767 |
Is Organization Subpart | Y |
Parent Organization Name | KISMET KARE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
FL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 023385500 | 05 |
Street Address |
9609 SIMEON DR |
City | LAND O LAKES |
State | FL |
Zip Code | 34638-6923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609341833 | Medical Risk Solutions | Family Medicine | 20360 Gator Lane, Land O Lakes, FL 34638 | 2018-10-03 |
1558845313 | Connerton Urgent Care LLC | Clinic/Center | 8527 Land O Lakes Blvd, Land O Lakes, FL 34638 | 2018-09-18 |
1588152441 | Aamani Jupalli | Student in an Organized Health Care Education/Training Program | 17801 Ayrshire Blvd, Land O Lakes, FL 34638 | 2018-04-26 |
1548764921 | Ibukun Woodson | Nurse Practitioner | 17446 Queensland St, Land O Lakes, FL 34638 | 2018-03-21 |
1851824106 | Lisa Ann Brooks | Dentist | 17780 Aprile Dr, Land O Lakes, FL 34638 | 2017-04-04 |
1437503653 | Luis A Vega | Social Worker | 17354 Criket Chirp Loop, Land O Lakes, FL 34638 | 2016-04-14 |
1548634157 | Diedre Smith | Registered Nurse | 9624 Maxson Drive, Land O Lakes, FL 34638 | 2015-11-19 |
1275806861 | Sylvia Zaky | Pharmacist | 2713 Butterfly Landing Drive, Land O Lakes, FL 34638 | 2012-02-14 |
1528225612 | Susan Louise Rarick | Psychologist | 20747 Sterlington Drive, Land O Lakes, FL 34638 | 2008-05-17 |
1851585665 | Royalty Care Services | Custodial Care Facility | 2930 Downan Point Drive, Land O Lakes, FL 34638 | 2007-09-05 |
Find all providers in zip 34638 |
Taxonomy Code | 261QD1600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Developmental Disabilities |
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215592423 | Marie Marolaine Celestin-riviere | Clinic/Center | 23323 Key Largo Loop, Land O Lakes, FL 34639-6742 | 2019-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578164463 | Jamesas Williams | Clinic/Center | 880 Piedmont Dr Se, Winter Haven, FL 33880-4547 | 2020-11-05 |
1942801964 | Aleyda P Blanco | Clinic/Center | 11177 Sw 8th St Apt 308, Pembroke Pines, FL 33025-6987 | 2020-11-05 |
1619578978 | Mays Caring Home LLC | Clinic/Center | 103 Shaw Blvd, Fort Myers, FL 33905-2632 | 2020-11-03 |
1801497235 | Precious Dreams Group Home #2, Inc. | Clinic/Center | 820 Nw 32nd Ave, Miami, FL 33125-3906 | 2020-11-03 |
1619578192 | Elsyoff Care Center LLC | Clinic/Center | 1727 Nw 19th Ter, Cape Coral, FL 33993-4915 | 2020-11-02 |
1417558099 | Trnity Fields Inc | Clinic/Center | 12210 Netherfield Ct, Riverview, FL 33569-4117 | 2020-11-02 |
1891395430 | Kettia Noel | Clinic/Center | 1573 Se Clearbrook St, Port Saint Lucie, FL 34983-4050 | 2020-10-30 |
1740880871 | Salubrious Home Therapy Services, Inc | Clinic/Center | 3421 Sw 114th Ct, Miami, FL 33165-3330 | 2020-10-28 |
1407456718 | Evelyne Charles | Clinic/Center | 3301 White Blossom Ln, Clermont, FL 34711-6366 | 2020-10-27 |
1295334191 | Aging At Home LLC | Clinic/Center | 1858 Forest Hills Rd, Jacksonville, FL 32208-2535 | 2020-10-21 |
Find all providers with the same taxonomy |
City | LAND O LAKES |
Zip Code | 34638 |
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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.