KELLY'S ASSISTED LIVING FACILITY
NPI 1881954659
Assisted Living Facility - Assisted Living, Mental Illness in Fort Lauderdale, FL
- Organization
- Assisted Living Facility
- Assisted Living, Mental Illness
About KELLY'S ASSISTED LIVING FACILITY
This page provides the complete NPI Profile along with additional information for Kelly's Assisted Living Facility, a provider established in Fort Lauderdale, Florida operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1881954659 assigned on May 2012. The practitioner's primary taxonomy code is 3104A0625X with license number AL5485 (FL). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Kelly's Assisted Living Facility. The authorized official of this NPI record is Mrs. Hannah Williams Administrator (Owner)
- NPI
- 1881954659 Verify this NPI
- Provider Legal Name
- H & W WILLIAMS INC.
- Other Organization Name
- KELLY'S ASSISTED LIVING FACILITY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1451 NW 20TH ST FORT LAUDERDALE, FL 33311
- Location Phone
- (954) 524-2867
- Location Fax
- (954) 764-2259
- Mailing Address
- 1451 NW 20TH ST FORT LAUDERDALE, FL 33311
- Mailing Phone
- (954) 524-2867
- Mailing Fax
- (954) 764-2259
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-25-2012
- Last Update Date
- 02-28-2023
- Code Navigator
Location Map
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
Assisted Living Facility Assisted Living, Mental Illness
- Taxonomy Code
- 3104A0625X
- Type
- Nursing & Custodial Care Facilities
- License No.
- AL5485
- License State
- FL
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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 | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881954659, enumerated as an "organization" on May 25, 2012.
The provider is located at 1451 NW 20TH ST FORT LAUDERDALE, FL 33311 and the phone number is (954) 524-2867.
Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.
