Southern Kingdom Housing Services LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SOUTHERN KINGDOM HOUSING SERVICES LLC

Practice address

6300 Dupont Ave S Apt 206
Richfield, MN 55423-1348

Phone

(651) 529-0446

NPI assigned

Dec 5, 2022

Organization subpart

No

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

Authorized official

Name

Tierra Peterson

Title

Owner

Phone

(651) 529-0446

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1154032738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 DUPONT AVE S APT 206",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 DUPONT AVE S APT 206",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231348",
            "telephone_number": "651-529-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN KINGDOM HOUSING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "TIERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-529-0446"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Southernkingdomhousing@outlook.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "6300 DuPont Ave S Apt 206",
            "city": "Richfield",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554231348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.