1811461262 NPI number — HOUSING AUTHORITY OF THE CITY OF KEY WEST, FLORIDA

Table of content: MS. CAROL ANN LARKIN F.N.P. (NPI 1548373590)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811461262 NPI number — HOUSING AUTHORITY OF THE CITY OF KEY WEST, FLORIDA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOUSING AUTHORITY OF THE CITY OF KEY WEST, FLORIDA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811461262
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/19/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1664 DUNLAP DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KEY WEST
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33040
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-864-4248
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1664 DUNLAP DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KEY WEST
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-864-4248
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/18/2019

Additional Information

Authorized Official

Authorized Official Last Name:
HERRINGTON
Authorized Official First Name:
NATALIE
Authorized Official Middle Name:
ELIZABETH
Authorized Official Title or Position:
PROGRAM ADMINISTRATOR # 171244642
Authorized Official Telephone Number:
305-440-3191

Provider Taxonomy Codes

  • Taxonomy code: 310400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 833097311 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 102440600 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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