Kingdom Care Living Homemaker and Companion Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KINGDOM CARE LIVING HOMEMAKER AND COMPANION SERVICES, LLC

Practice address

823 Mosswood Chase St
Orange Park, FL 32065-5541

Phone

(954) 464-5784

NPI assigned

Feb 26, 2019

Last updated

Oct 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nakitia Jackson, APRN-BCNPI 1811320674

Title

Ceo/Administrator

Phone

(954) 464-5784

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nakitia Letrecia Jackson, RN, ARNP, AANP, ANCC

  • Registered Nurse
  • North Lauderdale, FL
  • NPI 1811320674
  Authorized official Same address or phone

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1114484136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 MOSSWOOD CHASE ST",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655541",
            "telephone_number": "954-464-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 MOSSWOOD CHASE ST",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655541",
            "telephone_number": "954-464-5784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 Houston Ave SW",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "FL",
            "postal_code": "320643001",
            "country_code": "US",
            "telephone_number": "954-464-5784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINGDOM CARE LIVING HOMEMAKER AND COMPANION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NAKITIA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "954-464-5784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kind Care Dentistry LLC (Kind Care Dentistry)
• Forrest King, M.D.
• Janiyah King
• Shameka Danielle King, ARNP
• Tiffani King, MD
• Kingdom Services of Jacksonville LLC
• Kingsley Avenue Emergency Physicians LLC
• Kingsley Endoscopy Center LLC
• Kingsley RX LLC
• Chamonix Kinimaka, MD

• Home Health Agency in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.