Kingdom Builders Minister, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KINGDOM BUILDERS MINISTER, INC

Practice address

200 E Washington St
Minneola, FL 34715-9250

Phone

(352) 432-3704

Fax

(352) 988-5866

NPI assigned

Jun 14, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Grisselle Ivette Davis, REVEREND

Title

President

Phone

(352) 678-8554

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1144515420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E WASHINGTON ST",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347159250",
            "telephone_number": "352-432-3704",
            "fax_number": "352-988-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E WASHINGTON ST",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347159250",
            "telephone_number": "352-432-3704",
            "fax_number": "352-988-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM BUILDERS MINISTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GRISSELLE",
        "authorized_official_middle_name": "IVETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-678-8554",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REVEREND"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J.W. Unlimited, LLC
• Jac Angels in Coordination, LLC
• Sheena Jain, DMD
• Claudia S Jennings
• Jill Kelley, CCC-SLP
• Kingdom Building Services LLC
• Sydney Kosik, DPT
• Sarah Grace Kucza, DC
• Lake Psychoeducational Center
• Paulo Lanausse Siqueira, DPT

• Community/Behavioral Health Agency in Minneola, FL
• Providers in Minneola, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.