Kings and Queens Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2387186 Issued in OH

Legal business name

KINGS AND QUEENS HOME HEALTH CARE LLC

Practice address

3331 E Livingston Ave
Columbus, OH 43227-1923

Phone

(614) 987-5785

Fax

(614) 987-5973

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Ebony Monique Reynolds

Title

President

Phone

(614) 987-5785

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368367

Legal name

KINGS AND QUEENS HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 14, 2011

Last certification

Feb 21, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Nov 10, 2010 in OH

Enrollment address

3331 E Livingston Ave
Columbus, OH 43227-1923

Listed as

Kings and Queens Home Health Care, LLCCCN 368367 · All quality measures

Ownership

Proprietary

Certified

Jun 14, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1013218817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 E LIVINGSTON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432271923",
            "telephone_number": "614-987-5785",
            "fax_number": "614-987-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 E LIVINGSTON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432271923",
            "telephone_number": "614-987-5785",
            "fax_number": "614-987-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS AND QUEENS HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-987-5785"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "2387186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056549",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy M King, PT
• Wenonah King
• Zachary King
• King'S Medical Imaging at Watermark, LLC
• Tarynne Elizabeth Kinghorn, MD
• James Kingsbury II, MD
• Debra Jean Kingseed
• Gale Kingsley
• Nanjoh Kingsley, LPN
• Samantha Kingsley

• Home Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.