Kingsway Community Care Center

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

KINGSWAY COMMUNITY CARE CENTER

Practice address

6722 E US Highway 36
Avon, IN 46123-8921

Phone

(317) 272-0708

Fax

(317) 272-0918

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Mollaun P

Title

Executive Director

Phone

(317) 272-0708

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1134318553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6722 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238921",
            "telephone_number": "317-272-0708",
            "fax_number": "317-272-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6722 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238921",
            "telephone_number": "317-272-0708",
            "fax_number": "317-272-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWAY COMMUNITY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "P",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MOLLAUN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-272-0708",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Dentistree of in, LLC
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• Heather Melee Kim, M.D.
• Elizabeth M King, MSW, LCSW
• Julie Kippenbrock, PHARMD
• Iman M. Kiritsis, MSW, LSW
• Cameron Wade Kirk, MD
• Gehna Kishore, MD
• Thomas Kixmiller, MA, LMHC

• Voluntary or Charitable Agency in Avon, IN
• Providers in Avon, IN by specialty
• Voluntary or Charitable Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.