KINGDOM CARE AGENCY LLC NPI 1124812987

NPI Information

  • NPI: 1124812987
  • Provider Name: KINGDOM CARE AGENCY LLC
  • Classification: In Home Supportive Care - 253Z00000X
  • Entity Type: Organization
  • Address: 2 GRANITE AVE STE 260
    MILTON, MA
    ZIP 02186
  • Phone: (339) 987-6499

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NPI Details

KINGDOM CARE AGENCY LLC is an in home supportive care in Milton, MA. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. KINGDOM CARE AGENCY LLC NPI is 1124812987. The provider is registered as an organization entity type.

The provider's business location address is:

2 GRANITE AVE STE 260
MILTON, MA
ZIP 02186
Phone: (339) 987-6499

The provider's authorized official is Tayanna Lewis .
The authorized official title is Owner/ Founder and has the following contact phone number (339) 208-2001.

The enumeration date for this NPI number is 4/7/2025 and was last updated on 4/7/2025.

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
1103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
2251J00000XNursing CareNo
3253Z00000XIn Home Supportive CareYes
4283XC2000XRehabilitation HospitalChildrenNo
5385H00000XRespite CareNo

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: 11/21/2025

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