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KYNGDOM SERVICES LLC NPI 1790103174


NPI Information

NPI: 1790103174
Provider Name: KYNGDOM SERVICES LLC
Classification: Home Health Aide - 374U00000X
Entity Type: Organization
Address:
750 S ORANGE BLOSSOM TRL
227
ORLANDO, FL
ZIP 32805
Phone: (407) 674-8988
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KYNGDOM SERVICES LLC is a home health aide in Orlando, FL. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. KYNGDOM SERVICES LLC NPI is 1790103174. The provider is registered as an organization entity type.

The provider's business location address is:

750 S ORANGE BLOSSOM TRL
227
ORLANDO, FL
ZIP 32805-118
Phone: (407) 674-8988
Fax: (407) 674-8992

The provider's authorized official is Michelle Rivers .
The authorized official title is Owner and has the following contact phone number (407) 674-8988.

The enumeration date for this NPI number is 4/2/2014 and was last updated on 10/3/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthNo
2374U00000XHome Health AideYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003575300MEDICAIDFLORIDA

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: 4/28/2024

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