KDPK IV, INC.
NPI 1740997097
Assisted Living Facility in San Diego, CA

Q: What is Kdpk IV, Inc.'s NPI number?

The NPI number for Kdpk IV, Inc. is 1740997097. It was assigned to this organization in the NPPES registry on November 4, 2022.

Q: What is Kdpk IV, Inc.'s specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kdpk IV, Inc. was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 04, 2022

3810 GOVERNOR DR, SAN DIEGO, CA 92122(858) 583-6431(858) 587-2802 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kdpk Iv, Inc. NPPES

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

KDPK IV, INC. (NPI 1740997097) is a healthcare organization registered as an assisted living facility in San Diego, California and active in the NPI registry since November 2022. The organization lists Flora Kelly, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740997097

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameKDPK IV, INC.

Location Address3810 GOVERNOR DRSan Diego, CA 92122-2441

Mailing Address6311 Dennison StSan Diego, CA 92122-2401 · (858) 583-6431 · Fax (858) 587-2802

Phone(858) 583-6431

Fax(858) 587-2802

Organization SubpartNo

Authorized OfficialFlora KellyCeo · (858) 583-6431

Enumeration DateNovember 4, 2022

NPPES CertifiedNovember 4, 2022

✔ NPI 1740997097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

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.

3810 GOVERNOR DR, San Diego, CA 92122

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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 Kdpk IV, Inc.'s NPI number?

The NPI number for Kdpk IV, Inc. is 1740997097. It was assigned to this organization in the NPPES registry on November 4, 2022.

Where is Kdpk IV, Inc. located?

Kdpk IV, Inc. is located at 3810 Governor Dr, San Diego, CA 92122. The listed phone number is (858) 583-6431.

What is Kdpk IV, Inc.'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 Kdpk IV, Inc. was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.