KIMBERLY EVETTE SHANNON RPH
NPI 1700160694
Custodial Care Facility - Adult Care Home in Bradenton, FL
- Individual
- Female
- Custodial Care Facility
- Adult Care Home
About KIMBERLY SHANNON
This page provides the complete NPI Profile along with additional information for Kimberly Shannon, a provider established in Bradenton, Florida with a medical specialization in Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1700160694 assigned on October 2011. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1700160694 Verify this NPI
- Provider Name
- KIMBERLY EVETTE SHANNON RPH
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2817 2ND STREET EAST BRADENTON, FL 34208
- Location Phone
- (941) 782-7024
- Location Fax
- (833) 374-2750
- Mailing Address
- 930 8TH AVE W PALMETTO, FL 34221
- Mailing Phone
- (941) 729-5250
- Mailing Fax
- (941) 729-7899
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-10-2011
- Last Update Date
- 12-09-2024
- Code Navigator
Location Map
Secondary Locations
- 930 8th Ave W
Palmetto, FL 34221
(941) 729-5250
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Custodial Care Facility Adult Care Home
- Taxonomy Code
- 311ZA0620X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 183500000X | Pharmacy Service Providers | Pharmacist | PS30747 (FL) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700160694, enumerated as an "individual" on October 10, 2011.
The provider is located at 2817 2ND STREET EAST BRADENTON, FL 34208 and the phone number is (941) 782-7024.
Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.
