Organization Active NPI

Kingdom Health Services LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1063082816
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KINGDOM HEALTH SERVICES LLC
Practice address
2065 Walton Rd
Saint Louis, MO 63114-5805
Phone
(314) 249-4429
Fax
(314) 282-9813
NPI assigned
Jun 24, 2021
Last updated
Aug 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Authorized official

Name
Dr. Inez C Hughes
Title
Sole MBR
Phone
(314) 249-4429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2065 Walton Rd
Saint Louis, MO 63114-5805

Mailing address

2065 Walton Rd
Saint Louis, MO 63114-5805
Phone (314) 249-4429

National Provider Directory

National Provider Directory

Locations

2065 Walton Rd
Saint Louis, MO 63114
Phone (314) 249-4429

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1063082816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 WALTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145805",
            "telephone_number": "314-249-4429",
            "fax_number": "314-282-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 WALTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145805",
            "telephone_number": "314-249-4429",
            "fax_number": "314-282-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "INEZ",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "314-249-4429",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.