Organization Active NPI

Kingsmark Health Services Inc.

  • Home Health Agency
  • Rowlett, TX
National Provider Identifier
1033838073
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KINGSMARK HEALTH SERVICES INC.
Practice address
6422 Teresa LN
Rowlett, TX 75089-7401
Phone
(214) 926-0805
NPI assigned
Aug 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Abiodun Ayotunde Oladimeji, RN
Title
Administrator
Phone
(214) 926-0805

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

6422 Teresa LN
Rowlett, TX 75089-7401

Mailing address

6422 Teresa LN
Rowlett, TX 75089-7401
Phone (214) 926-0805

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1033838073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 TERESA LN",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750897401",
            "telephone_number": "214-926-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 TERESA LN",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750897401",
            "telephone_number": "214-926-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSMARK HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "OLADIMEJI",
        "authorized_official_first_name": "ABIODUN",
        "authorized_official_middle_name": "AYOTUNDE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-926-0805",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.