KIM CHANCELLOR NPI 1134603152

NPI Information

NPI: 1134603152
Provider Name: KIM CHANCELLOR
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Individual
Address:
13052 COMPTON RD
LOXAHATCHEE, FL
ZIP 33470
Phone: (561) 797-7202
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Kim Chancellor is a community based residential treatment facility, intellectual and/or developmental disabilities in Loxahatchee, FL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Kim Chancellor NPI is 1134603152. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13052 COMPTON RD
LOXAHATCHEE, FL
ZIP 33470-714
Phone: (561) 797-7202
Fax: (561) 795-3014

The enumeration date for this NPI number is 9/17/2018 and was last updated on 9/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD1600X	Clinic/Center	Developmental Disabilities			No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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