NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kettly House LLC

Community Health Registered Nurse in Sunrise, FL · enumerated 2025 · authorized official Kettly Derival, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457231003

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Kettly House LLC
Practice address 2191 Nw 74th Ave, Sunrise, FL, 33313
Enumeration date Sep 4, 2025
Last updated in NPPES Sep 4, 2025

Taxonomy & classification

163WC1500X Community Health Registered Nurse Nursing Service Providers Primary
320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Secondary

Authorized official

Name Kettly Derival
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Kettly House LLC?
NPPES lists Kettly Derival (Ceo) as the authorized official for this organization.
What is the NPI number for Kettly House LLC?
The NPI for Kettly House LLC is 1457231003, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-04.