Provider Demographics
NPI:1992698120
Name:KINBRIDGE AT OVIEDO
Entity type:Organization
Organization Name:KINBRIDGE AT OVIEDO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHIRIGA
Authorized Official - Middle Name:
Authorized Official - Last Name:OFORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-483-3066
Mailing Address - Street 1:450 OVIEDO BLVD
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-3508
Mailing Address - Country:US
Mailing Address - Phone:727-483-3066
Mailing Address - Fax:
Practice Address - Street 1:450 OVIEDO BLVD
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-3508
Practice Address - Country:US
Practice Address - Phone:727-483-3066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility