Kingdom Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KINGDOM HOME CARE LLC

Practice address

11 Broadway St
Waterbury, CT 06705-3805

Phone

(914) 888-4310

NPI assigned

Jun 11, 2021

Organization subpart

No

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

Authorized official

Name

Sherheen Williams

Title

Owner

Phone

(914) 888-4310

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1124696737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BROADWAY ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053805",
            "telephone_number": "914-888-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BROADWAY ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053805",
            "telephone_number": "914-888-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHERHEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-888-4310"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Kim, MD
• Meredith Kim, M.D.
• Barbara Kimble-Goodman
• Aleksandra Kinard
• Michelle Marie King, APRN
• Danielle Alexandria Kirby-McGann, LMSW
• Kathleen Sarah Kirrane, APRN
• Thomas Kisatsky
• Caitlin Kishore, AU.D
• Ahmad Kiwan, MD

• In Home Supportive Care Agency in Waterbury, CT
• Providers in Waterbury, CT by specialty
• In Home Supportive Care Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.