KENYETTA N. BROUGHTON-FLOYD (NPI# 1104030139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104030139 |
| Entity Type | Individual |
| Full Name | KENYETTA N. BROUGHTON-FLOYD |
| Practice Address |
201 Lester Rd Park Forest IL 60466-2013 |
| Mailing Address |
Po Box 992 Park Forest IL 60466-0992 |
| Practice Telephone | 3122389128 |
| Mailing Telephone | 3122389128 |
| Mailing Fax Number | 7084340811 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
| X | 222Q00000X | Developmental Therapist | KB52980401P | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
201 LESTER RD |
| City | PARK FOREST |
| State | IL |
| Zip Code | 60466-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528399425 | Home Sweet Home Early Developmental Rehab | Case Management | 201 Lester Rd, Park Forest, IL 60466-2013 | 2010-01-18 |
| 1861636920 | Knbf Consultants | Day Training, Developmentally Disabled Services | 201 Lester Rd, Park Forest, IL 60466-2013 | 2009-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003464926 | Elda Jean Davis | Technician | 208 Juniper St, Park Forest, IL 60466 | 2019-09-04 |
| 1558806224 | Cindy Okolo | Nurse Practitioner | 111 E Sycamore Drive Suite 303, Park Forest, IL 60466 | 2017-01-04 |
| 1063891984 | April Washington | Occupational Therapist | 2 Lakewood Ct, Park Forest, IL 60466 | 2015-05-26 |
| 1093940363 | Andrene Renee Johnson | Durable Medical Equipment & Medical Supplies | 3224 S Western Ave, Park Forest, IL 60466 | 2009-05-15 |
| 1316181597 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 101 Wolpers Rd, Park Forest, IL 60466 | 2009-05-01 |
| 1255504155 | Joyce N Onyenso | Registered Nurse | 1037 Monterey Ct, University Park, IL 60466 | 2008-04-11 |
| 1891812327 | Comgraph Inc. | Clinic/Center | 252 Main Street, Park Forest, IL 60466 | 2007-03-22 |
| 1992800890 | Village of Park Forest | Home Health | 350 Victory Drive, Lower Level, Park Forest, IL 60466 | 2006-09-14 |
| 1366468324 | Reliable Healthcare Service LLC | Registered Nurse | 220 Forest Blvd, Park Forest Blvd, IL 60466 | 2006-07-14 |
| 1881257806 | Healing Steps Counseling, PC | Clinic/Center | 230 Main St, Park Forest, IL 60466 | 2019-04-16 |
| Find all providers in zip 60466 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507516 | Octavio Urbina | Counselor | 8110 Ogden Ave, Lyons, IL 60534-1126 | 2020-01-08 |
| 1073152898 | Aviva Rosenberg | Counselor | 2754 W Fullerton Ave, Chicago, IL 60647-6870 | 2019-12-26 |
| 1033779319 | Reach Counseling Inc. | Counselor | 116 W Lafayette St Ste 4, Ottawa, IL 61350-2160 | 2019-06-18 |
| 1598329179 | Shannon Anne Welsh | Counselor | 4960 N Marine Dr Apt 616, Chicago, IL 60640-3920 | 2019-04-29 |
| 1801367750 | Lisa Perry | Counselor | 2711 Summit Ct, Urbana, IL 61802-7029 | 2018-12-17 |
| 1174014716 | Entrepreneur Enterprizez | Counselor | 3017 W Walnut St, Chicago, IL 60612-1835 | 2018-05-18 |
| 1841709151 | Kristina Cromeenes | Counselor | 1015 Filmore St, Metropolis, IL 62960-1762 | 2017-09-29 |
| 1922497668 | Nydia Castillo | Counselor | 3025 N Karlov Ave, Chicago, IL 60641-5407 | 2015-01-19 |
| 1932529682 | Yolanda Perry | Counselor | 6826 S Talman Ave # 2, Chicago, IL 60629-1824 | 2014-04-21 |
| 1124364963 | Juanita Louise Smith | Counselor | 939 Honey Ln, Crete, IL 60417-1329 | 2012-12-26 |
| Find all providers with the same taxonomy | ||||
| City | PARK FOREST |
| Zip Code | 60466 |
Please comment or provide details below to improve the information on KENYETTA N. BROUGHTON-FLOYD.
| 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.