KINDHEARTED ASSISTED LIVING FACILITY, INC. (NPI# 1922396431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922396431 |
| Entity Type | Organization |
| Organization Name | KINDHEARTED ASSISTED LIVING FACILITY, INC. |
| Practice Address |
2815 Cleveland Heights Blvd Lakeland FL 33803-4107 |
| Practice Telephone | 8632483038 |
| Practice Fax Number | 8635784800 |
| Mailing Telephone | 8631784800 |
| Mailing Fax Number | 8635783017 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2015-04-16 |
| Authorized Official Name | MRS. YOLENE MILHOMME (ADMINISTRATOR) |
| Authorized Official Telephone | 8635785800 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL11530 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000881700 | 05 |
| Street Address |
2815 CLEVELAND HEIGHTS BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-4107 |
| 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 | 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 |
|---|---|---|---|---|
| 1831798289 | Siloam Health Care Services | Assisted Living Facility | 1205 Neville Ave, Lakeland, FL 33805-4144 | 2020-10-17 |
| 1841709847 | Senior Living Properties Iv, LLC | Assisted Living Facility | 605 Carpenters Way, Lakeland, FL 33809-3919 | 2017-09-22 |
| 1972975605 | The Manor At Lake Morton | Assisted Living Facility | 522 E Lime St, Lakeland, FL 33801-5313 | 2015-10-21 |
| 1750700860 | Grace Manor Suites | Assisted Living Facility | 4620 N Socrum Loop Road, Lakeland, FL 33809 | 2014-04-16 |
| 1780019992 | Florida Living Options Inc | Assisted Living Facility | 6150 Lakeland Highlands Rd, Lakeland, FL 33813-3850 | 2013-09-06 |
| 1477858520 | Lwrc Inc | Assisted Living Facility | 315 W Peachtree St, Lakeland, FL 33815-1531 | 2011-01-21 |
| 1013167691 | Lake Morton Plaza, LLC | Assisted Living Facility | 400 S Florida Ave, Lakeland, FL 33801-5254 | 2008-09-19 |
| 1740449263 | Andrada Guerzon #1 Corp | Assisted Living Facility | 815 W Daughtery Rd, Lakeland, FL 33809-3121 | 2008-06-09 |
| 1992979405 | Sedona Garden Assisted Living & Memory Care | Assisted Living Facility | 610 E Lime St, Lakeland, FL 33801-5444 | 2008-04-15 |
| 1548443666 | Perpetual Care & Senior Living Services Inc. | Assisted Living Facility | 747 Bon Air St, Lakeland, FL 33805-4631 | 2007-12-12 |
| 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.