Kettly House LLC
NPI 1457231003 · Community Health Registered Nurse · Sunrise, FL
Kettly House LLC is a Community Health Registered Nurse organization in Sunrise, FL (NPI 1457231003).
Provider details
- NPI number
- 1457231003
- Entity type
- Organization
- Primary specialty
- Community Health Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Kettly Derival, Ceo(954) 546-0667
Specialties & taxonomies
Nursing Service Providers
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-09-04
- Last updated
- 2025-09-04
- Certified
- 2025-09-04
Frequently asked questions
- What is Kettly House LLC's NPI number?
- Kettly House LLC's National Provider Identifier (NPI) is 1457231003, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kettly House LLC?
- Kettly House LLC is classified in the NPPES registry as Community Health Registered Nurse (Nursing Service Providers).
- Where is Kettly House LLC located?
- Kettly House LLC's practice location on file with NPPES is 2191 Nw 74th Ave, Sunrise, FL 33313-3855.
- What is Kettly House LLC's phone number?
- The practice phone number listed in the NPPES registry for Kettly House LLC is (954) 546-0667.
- Who is the authorized official for Kettly House LLC?
- The authorized official listed on Kettly House LLC's NPPES record is Kettly Derival, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kettly House LLC's NPI active?
- Yes — Kettly House LLC's NPI (1457231003) is active in the NPPES registry as of the last update on 2025-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.