Kingdom Care Services of NC, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KINGDOM CARE SERVICES OF NC, INC.

Practice address

265 Eastchester Dr Ste 307
High Point, NC 27262-7731

Phone

(336) 542-5370

Fax

(336) 542-5371

NPI assigned

Aug 10, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Tequita Brice

Title

Executive Director

Phone

(336) 542-5370

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1174802011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 EASTCHESTER DR STE 307",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627731",
            "telephone_number": "336-542-5370",
            "fax_number": "336-542-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 EASTCHESTER DR STE 307",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627731",
            "telephone_number": "336-542-5370",
            "fax_number": "336-542-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM CARE SERVICES OF NC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "BRICE",
        "authorized_official_first_name": "TEQUITA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-542-5370",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teddy Earl Kim, M.D.
• Jennifer King-Fairley
• Kaitlyn King, RBT
• Kristen King, PMHNP-BC
• Sara King
• Kingdom Heart Living LLC
• Kingdom Heart Living LLC
• Deborah Lynette Kirby, MD
• James W Kirby III, PA-C
• Samuel Craig Kirby, MD

• Community/Behavioral Health Agency in High Point, NC
• Providers in High Point, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.