Kingdom Kare LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

KINGDOM KARE LLC

Practice address

10200 Spring Water Lane
Upper Marlboro, MD 20772

Phone

(301) 440-1538

Fax

(301) 627-2119

NPI assigned

Jun 11, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Dorothy M Parker

Title

President

Phone

(301) 440-1538

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1174750699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 SPRING WATER LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726673",
            "telephone_number": "301-440-1538",
            "fax_number": "301-627-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 SPRING WATER LANE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "20772",
            "telephone_number": "301-440-1538",
            "fax_number": "301-627-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM KARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-440-1538",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myoung Woon Kim
• Caryl Denise King Grant, CCC-SLP
• Barrington King
• Fayola King, LCPC
• Folasade King
• Lisa Renee Kirby, MS, CCC-SLP
• Aisha Abdallah Kitwara
• Olayemi A Kodaolu
• Sophie Koku
• Karent Ejelle Kome

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.