SOPHIA KIBUISMITH
NPI 1346012572
Custodial Care Facility - Adult Care Home in St Petersburg, FL

Active since October 23, 2023
4811 5TH AVE S, ST PETERSBURG, FL 33711(425) 246-5077 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sophia Kibuismith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOPHIA KIBUISMITH (NPI 1346012572) is an individual adult care home provider in St Petersburg, Florida, licensed in Florida (6907085) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1346012572
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameSOPHIA KIBUISMITH
Location Address4811 5TH AVE SSt Petersburg, FL 33711-1421
Mailing Address4811 5th Ave SSt Petersburg, FL 33711-1421 · (425) 246-5077
Sole ProprietorYes
Enumeration DateOctober 23, 2023
NPPES CertifiedOctober 22, 2023
NPI 1346012572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in FL · 6907085
Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

4811 5TH AVE S, St Petersburg, FL 33711

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Custodial Care Facility (Adult Care Home)
4811 5TH AVE S
ST PETERSBURG, FL 33711
Custodial Care Facility (Adult Care Home)
4811 5TH AVE S
SAINT PETERSBURG, FL 33711
Assisted Living Facility
4811 5TH AVE S
ST PETERSBURG, FL 33711
Assisted Living Facility
4811 5TH AVE S
ST PETERSBURG, FL 33711
Custodial Care Facility (Adult Care Home)
4811 5TH AVE S
ST PETERSBURG, FL 33711

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 Sophia Kibuismith's NPI number?

The NPI number for Sophia Kibuismith is 1346012572. It was assigned to this individual provider in the NPPES registry on October 23, 2023.

Where is Sophia Kibuismith located?

Sophia Kibuismith practices at 4811 5th Ave S, St Petersburg, FL 33711. The listed phone number is (425) 246-5077.

What is Sophia Kibuismith's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Sophia Kibuismith was last updated on October 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.