Kesha Health Care Service,Llc

LBN: Kesha Health Care Service,Llc
Kesha Health Care Service,Llc is an health care organization with primary practice located at 135 Manseau Dr , Winter Haven FL 33880-1719. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Kesha Health Care Service,Llc can be contacted via phone (863) 595-6212, or through Young, Nakesha Shonease via phone (863) 595-6212.

Contact Information

Primary practice address
135 Manseau Dr Winter Haven FL 33880-1719
Phone: (863) 595-6212
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Young, Nakesha Shonease
Phone: (863) 595-6212

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 001447200 Florida

Profile Details

NPI number 1700176732
LBN Legal business name Kesha Health Care Service,Llc
DBA Doing business as
Authorized official Young, Nakesha Shonease
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2011
Last updated Apr 11th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700176732 NPPES
Florida MEDICAID 003167300
Florida MEDICAID 001447200
Florida MEDICAID 001447201

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