Provider Demographics
NPI:1356852347
Name:KISMET KARE
Entity Type:Organization
Organization Name:KISMET KARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KISMETS & REBELS,
Authorized Official - Middle Name:
Authorized Official - Last Name:LLC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-538-4589
Mailing Address - Street 1:3714 LANDINGS WAY DR APT 108
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-2997
Mailing Address - Country:US
Mailing Address - Phone:813-538-4589
Mailing Address - Fax:
Practice Address - Street 1:3714 LANDINGS WAY DR APT 108
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-2997
Practice Address - Country:US
Practice Address - Phone:813-538-4589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-17
Last Update Date:2017-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health