Kings Passion Home Care LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

KINGS PASSION HOME CARE LLC

Practice address

2356 N Sand Hills CT
Casa Grande, AZ 85122-6664

Phone

(632) 225-2723

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Anthony Keifala Samah

Title

Administrator

Phone

(623) 225-2723

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1124884184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2367 E OLIVINE RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851434907",
            "telephone_number": "623-225-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 N SAND HILLS CT",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226664",
            "telephone_number": "632-225-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS PASSION HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "SAMAH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "KEIFALA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-225-2723"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kid-1 Pediatric Dentistry
• Megan Jo Kilgore, PHARMD
• Thomas Kim, PHARMD
• Laurie King, LCSW
• Shellese A King, D.D.S.
• Marissa Kirkendoll, PT, DPT
• Romas Joseph Kirvaitis, M.D.
• Jefre N Kleinhanzl
• Maria Kojs
• Soniyasri Koochana, M.D.

• Psychiatric Residential Treatment Facility in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Psychiatric Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.