KOZIE KOTTAGE ALF, LLC (NPI# 1881141190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881141190 |
| Entity Type | Organization |
| Organization Name | KOZIE KOTTAGE ALF, LLC |
| Practice Address |
12576 54th St North West Palm Beach FL 33411 |
| Practice Telephone | 5612369100 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |
| Authorized Official Name | WENDY REYES (ADMINISTRATOR) |
| Authorized Official Telephone | 5612369100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL12633 | FL | Nursing & Custodial Care Facilities |
| Street Address |
12576 54TH ST NORTH |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346606704 | Wendy Reyes | Health Maintenance Organization | 12576 54th St North, West Palm Beach, FL 33411 | 2016-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343129 | Ashley Nicole Zarmanian | Counselor | 1779 Palisades Drive, West Palm Beach, FL 33411 | 2020-07-07 |
| 1487110995 | Everglades College Inc | Chiropractor | 2085 Vista Parkway, West Palm Beach, FL 33411 | 2019-02-20 |
| 1538625652 | Amanda Marie Tropea | Behavior Technician | 2054 Vista Park Way Suite #400, West Palm Beach, FL 33411 | 2019-02-13 |
| 1528554516 | Michael Ryan Moraguez | Dentist | 11358 Okeechobee Blvd Ste 1, Royal Palm Beach, FL 33411 | 2018-07-02 |
| 1184124505 | Abd Medical Surgical & Home Care Equipments, Inc | Durable Medical Equipment & Medical Supplies | 10349 Southern Blvd, Royal Palm Beach, FL 33411 | 2018-02-13 |
| 1336668987 | Belinda Brooks-josephs | Registered Nurse | 11407 Blue Violet Lane, Royal Palm Beach, FL 33411 | 2017-09-14 |
| 1699293183 | Lisa Camille Watson | Psychologist | 7750 Okeechobee Boulevard, Suite 4-9-19, West Palm Beach, FL 33411 | 2017-09-05 |
| 1174044515 | Sherisa Harris | Licensed Practical Nurse | 260 Crestwood Circle, Unit 104, Royal Palm Beach, FL 33411 | 2017-07-06 |
| 1134659758 | Gerry B Alondra | Behavior Technician | 103 Banyan Lane, West Palm Beach, FL 33411 | 2017-06-15 |
| 1356871313 | Maylin Ojeda | Behavior Technician | 13397 55th Rd N, West Palm Beach, FL 33411 | 2017-06-13 |
| Find all providers in zip 33411 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326675174 | New Vision Healthcare System, LLC | Assisted Living Facility | 4740 Portofino Way Apt 309, West Palm Beach, FL 33409-8181 | 2020-03-23 |
| 1023648821 | Belen Home Care | Assisted Living Facility | 4584 Sutton Terra South, West Palm Beach, FL 33415 | 2020-01-21 |
| 1245872340 | Family Home Care, Inc | Assisted Living Facility | 2328 Lewis Rd, West Palm Beach, FL 33415-7130 | 2019-10-10 |
| 1447807649 | Snh Fla Tenant LLC | Assisted Living Facility | 145 Executive Center Dr, West Palm Beach, FL 33401-5080 | 2019-08-22 |
| 1811541956 | Rhoenna E. Campbell-robinson | Assisted Living Facility | 2083 Florida Mango Rd, West Palm Beach, FL 33406-7724 | 2019-07-26 |
| 1386298735 | Jacqueline Sneed | Assisted Living Facility | 3621 Aralia Ct, West Palm Beach, FL 33406-5637 | 2019-07-24 |
| 1760950885 | Gloria Sajilus | Assisted Living Facility | 5034 Kathy Ln, West Palm Beach, FL 33415-2740 | 2018-11-06 |
| 1487141651 | Amazing Grace Assisted Living Home II LLC | Assisted Living Facility | 2257 Edgewater Dr, West Palm Beach, FL 33406-8711 | 2018-04-13 |
| 1689178337 | Elfbra One Investment, LLC | Assisted Living Facility | 2939 S Haverhill Rd Unit B, West Palm Beach, FL 33415-8118 | 2018-03-19 |
| 1386151405 | Mi Casitas Alf LLC | Assisted Living Facility | 313 N Sapodilla Ave, West Palm Beach, FL 33401-3340 | 2018-01-10 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33411 |
Please comment or provide details below to improve the information on KOZIE KOTTAGE ALF, LLC.
| 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.