Organization Active NPI

Children of the Kingdom Family Support Srrvices LLC

  • Community/Behavioral Health Agency
  • Newport News, VA
National Provider Identifier
1124471750
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2640 Issued in VA
Legal business name
CHILDREN OF THE KINGDOM FAMILY SUPPORT SRRVICES LLC
Practice address
610 Thimble Shoals Blvd Ste 201D
Newport News, VA 23606-4510
Phone
(757) 775-1612
NPI assigned
Jul 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Mrs. Cora Johnson
Title
Ceo
Phone
(757) 775-1612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2640 VA Primary

Addresses

Primary practice location

610 Thimble Shoals Blvd Ste 201D
Newport News, VA 23606-4510

Mailing address

610 Thimble Shoals Blvd Ste 201D
Newport News, VA 23606-4510
Phone (757) 775-1612

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1124471750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 THIMBLE SHOALS BLVD STE 201D",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064510",
            "telephone_number": "757-775-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 THIMBLE SHOALS BLVD STE 201D",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064510",
            "telephone_number": "757-775-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN OF THE KINGDOM FAMILY SUPPORT SRRVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CORA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-775-1612",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "2640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.