KIVA OF PALATKA, LLC
NPI 1457604241
Assisted Living Facility in Palatka, FL

Active since October 18, 2012
201 ZEAGLER DR, PALATKA, FL 32177(386) 325-0699 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kiva Of Palatka, Llc NPPES

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

KIVA OF PALATKA, LLC (NPI 1457604241) is a healthcare organization registered as an assisted living facility in Palatka, Florida and active in the NPI registry since October 2012. The organization lists Thomas Scarborough, Owner, as its authorized official.

NPPES Registry Identity

NPI1457604241
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKIVA OF PALATKA, LLC
Location Address201 ZEAGLER DRPalatka, FL 32177-3818
Mailing Address10 7th StBonita Springs, FL 34134-7415
Organization SubpartNo
Authorized OfficialThomas ScarboroughOwner · (615) 397-5271
Enumeration DateOctober 18, 2012
NPI 1457604241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in FL · AL827
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
201 ZEAGLER DR, Palatka, FL 32177

Other Identifiers 1

Other689186100FL · Medicaid Waiver

Other Providers at the Same Location NPPES

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

Assisted Living Facility
201 ZEAGLER DR
PALATKA, FL 32177

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 Of Palatka, LLC's NPI number?

The NPI number for Kiva Of Palatka, LLC is 1457604241. It was assigned to this organization in the NPPES registry on October 18, 2012.

Where is Kiva Of Palatka, LLC located?

Kiva Of Palatka, LLC is located at 201 Zeagler Dr, Palatka, FL 32177. The listed phone number is (386) 325-0699.

What is Kiva Of Palatka, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Kiva Of Palatka, 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.