Organization Active NPI

Kingdom Building Services LLC

  • Case Management Agency
  • Minneola, FL
National Provider Identifier
1013238740
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
KINGDOM BUILDING SERVICES LLC
Practice address
833 Willow Run St
Suite a
Minneola, FL 34715
Phone
(352) 678-8554
NPI assigned
Jun 16, 2010
Organization subpart
Yes
Parent organization
KINGDOM BUILDING SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Grisselle Ivette Simpson, REV
Title
Owner
Phone
(352) 678-8554

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

833 Willow Run St
Suite a
Minneola, FL 34715

Mailing address

833 Willow Run St
Suite a
Minneola, FL 34715-5768
Phone (407) 347-8204

Other names 1

  • kingdom builders minister, inc Other name

National Provider Directory

National Provider Directory
Part of
Kingdom Builders Minister Inc

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1013238740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 WILLOW RUN ST",
            "address_2": "SUITE A",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347155768",
            "telephone_number": "407-347-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 WILLOW RUN ST",
            "address_2": "SUITE A",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "34715",
            "telephone_number": "352-678-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM BUILDING SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINGDOM BUILDING SERVICES",
        "enumeration_date": "2010-06-16",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "GRISSELLE",
        "authorized_official_middle_name": "IVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-678-8554",
        "authorized_official_credential": "REV"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kingdom builders minister, inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minneola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.