Organization Active NPI

Kingdom Concierge Services LLC

  • Non-emergency Medical Transport (VAN)
  • Maple Grove, MN
National Provider Identifier
1104655166
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
KINGDOM CONCIERGE SERVICES LLC
Practice address
16490 Territorial TRL
Maple Grove, MN 55369-2223
Phone
(612) 396-7755
NPI assigned
Jul 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Adeniyi Adekunle
Title
Co-Owner
Phone
(612) 396-7755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

16490 Territorial TRL
Maple Grove, MN 55369-2223

Mailing address

16490 Territorial TRL
Maple Grove, MN 55369-2223
Phone (612) 396-7755

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1104655166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16490 TERRITORIAL TRL",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553692223",
            "telephone_number": "612-396-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16490 TERRITORIAL TRL",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553692223",
            "telephone_number": "612-396-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM CONCIERGE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "ADEKUNLE",
        "authorized_official_first_name": "ADENIYI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "612-396-7755"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.