Kingdom Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KINGDOM CARE AGENCY LLC

Practice address

2 Granite Ave Ste 260
Milton, MA 02186

Phone

(339) 987-6499

NPI assigned

Apr 7, 2025

Organization subpart

No

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

Authorized official

Name

Tayanna LewisNPI 1730994666

Title

Owner/ Founder

Phone

(339) 208-2001

Specialties & licenses 5

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tayanna Lewis

  • In Home Supportive Care Agency
  • Boston, MA
  • NPI 1730994666
  NPD Authorized official

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1124812987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HARRISON AVE STE 605",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GRANITE AVE STE 260",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "02186",
            "telephone_number": "339-987-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "TAYANNA",
        "authorized_official_title_or_position": "OWNER/ FOUNDER",
        "authorized_official_telephone_number": "339-208-2001"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "283XC2000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital, Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianka Kellici
• Mary Ellen Kelly, MS, RD, CDN
• Danielle Kenney, LICSW
• Diana Kerkorian, LICSW
• Cornelius F. Kiley, PH.D.
• Monika K Konopka, MD
• Laura Kottkamp, LICSW
• Olga Krasnoslobodtseva
• Kerry Kubera
• Ludger Labissiere, MSW

• In Home Supportive Care Agency in Milton, MA
• Providers in Milton, MA by specialty
• In Home Supportive Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.