Provider Demographics
NPI:1497142541
Name:KEVIN'S ALF CORP
Entity Type:Organization
Organization Name:KEVIN'S ALF CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZAIRYS
Authorized Official - Middle Name:
Authorized Official - Last Name:GARIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-400-5335
Mailing Address - Street 1:5111 SW 112TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-6941
Mailing Address - Country:US
Mailing Address - Phone:786-400-5335
Mailing Address - Fax:305-274-5631
Practice Address - Street 1:5111 SW 112TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-6941
Practice Address - Country:US
Practice Address - Phone:786-400-5335
Practice Address - Fax:305-274-5631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-15
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL023570500Medicaid