Healthcare Provider Details

I. General information

NPI: 1992698120
Provider Name (Legal Business Name): KINBRIDGE AT OVIEDO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 OVIEDO BLVD
OVIEDO FL
32765-3508
US

IV. Provider business mailing address

450 OVIEDO BLVD
OVIEDO FL
32765-3508
US

V. Phone/Fax

Practice location:
  • Phone: 727-483-3066
  • Fax:
Mailing address:
  • Phone: 407-815-7475
  • Fax: 407-977-2280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHIRIGA OFORI
Title or Position: CEO
Credential:
Phone: 727-483-3066