KIVA AT CANTERBURY,LLC
NPI 1164775953
Assisted Living Facility in Bonita Springs, FL
About Kiva At Canterbury,llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIVA AT CANTERBURY,LLC (NPI 1164775953) is a healthcare organization registered as an assisted living facility in Bonita Springs, Florida and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through November 24, 2026 and lists Thomas Scarborough, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2202304
Kiva At Canterbury, LLC · Bonita Springs, FLOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kiva At Canterbury,llc's NPI number?
The NPI number for Kiva At Canterbury,llc is 1164775953. It was assigned to this organization in the NPPES registry on October 18, 2012.
Where is Kiva At Canterbury,llc located?
Kiva At Canterbury,llc is located at 10 7th St, Bonita Springs, FL 34134. The listed phone number is (239) 992-8599.
What is Kiva At Canterbury,llc's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Kiva At Canterbury,llc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2202304) is associated with this NPI, valid through November 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Kiva At Canterbury,llc was last updated on October 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kiva At Canterbury,llc · NPI 1164775953
Assisted Living Facility organization in Bonita Springs, Florida. Organization record, active in the CMS NPPES registry since October 18, 2012.
## Identity
- **NPI:** 1164775953 (Entity type: Organization)
- **Enumerated:** October 18, 2012
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Thomas Scarborough, OWNER
## Practice location
- **Address:** 10 7TH ST, Bonita Springs, FL 34134-7415
- **Phone:** (239) 992-8599
## Record status
- **NPPES last updated:** October 18, 2012
- **Other identifiers:** Other 693447100 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164775953) · Data from the CMS NPPES public registry.