Kingdom Adult Care LLC

Primary specialty

Adult CompanionTaxonomy code 372600000X

Legal business name

KINGDOM ADULT CARE LLC

Practice address

1770 S Buckley Rd Unit 7
Aurora, CO 80017-5640

Phone

(720) 572-7974

NPI assigned

Jun 12, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marah Ismaiel

Title

Owner & Executive Director

Phone

(720) 572-7974

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1003431214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 S BUCKLEY RD UNIT 6",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800175640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 S BUCKLEY RD UNIT 7",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800175640",
            "telephone_number": "720-572-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM ADULT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "ISMAIEL",
        "authorized_official_first_name": "MARAH",
        "authorized_official_title_or_position": "OWNER & EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "720-572-7974"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan J King, MSW
• Nancy King, PNP
• Renee King, MD
• Robert Wilson King, MD
• Thomas Christopher King, MD
• Kingdom Management Home Care Inc
• Todd Kingdom, MD
• Elizabeth Kingen, B.S., ATC
• Kenten Douglas Kingsbury, BS
• Kayla Kingsley

• Adult Companion in Aurora, CO
• Providers in Aurora, CO by specialty
• Adult Companion in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.