King David Home Health Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

323248 Issued in MN

Legal business name

KING DAVID HOME HEALTH CARE SERVICES LLC

Practice address

7758 Janero Court South
Cottage Grove, MN 55016

Phone

(651) 459-5023

Fax

(651) 769-0788

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Bonita L. Adams, CEO

Title

Ceo

Phone

(651) 459-5023

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

King David Home Health Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• King David Home Health Care Services

  • Home Health Agency
  • Cottage Grove, MN
  • NPI 1588832216
  NPD tax ID

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1104026988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7758 JANERO COURT SOUTH",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "55016",
            "telephone_number": "651-459-5023",
            "fax_number": "651-769-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7758 JANERO COURT SOUTH",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "55016",
            "telephone_number": "651-459-5023",
            "fax_number": "651-769-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING DAVID HOME HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BONITA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-459-5023",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "323248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "MINNESOTA HEALTH CARE",
            "identifier": "323923000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiekhoefer Chiropractic LLC
• Gary Allen Kiekhoefer, DC
• Kindcare Living LLC
• King David Home Health Care
• King David Home Health Care Services
• Taylor Kline, MS
• Kurtis A Klotzbuecher, DDS
• Alissa Marie Knoblach
• Stacey L Ko, PA-C
• Michael P Koch, LIC SW

• Home Health Agency in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.