Kismets & Rebels, Llc

LBN: Kismets & Rebels, Llc
Kismets & Rebels, Llc is an health care organization with primary practice located at 9609 Simeon Dr , Land O Lakes FL 34638-6923. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Kismets & Rebels, Llc can be contacted via phone (813) 460-7767, or through Alvies, Keshell via phone (813) 460-7767.

Contact Information

Primary practice address
9609 Simeon Dr Land O Lakes FL 34638-6923
Phone: (813) 460-7767
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Alvies, Keshell
Phone: (813) 460-7767

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X Florida

Profile Details

NPI number 1114410149
LBN Legal business name Kismets & Rebels, Llc
DBA Doing business as
Authorized official Alvies, Keshell
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 13th, 2018
Last updated Jun 13th, 2018 - about 6 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 1114410149 NPPES
Florida MEDICAID 023385500

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