Organization Active NPI

Kingdom Quality Care LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1184386807
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KINGDOM QUALITY CARE LLC
Practice address
809 Marlyn Rd
Philadelphia, PA 19151-3319
Phone
(407) 600-3952
NPI assigned
Oct 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Terrell Scott
Title
President
Phone
(407) 600-3952

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

809 Marlyn Rd
Philadelphia, PA 19151-3319

Mailing address

809 Marlyn Rd
Philadelphia, PA 19151-3319
Phone (407) 600-3952

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1184386807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 MARLYN RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513319",
            "telephone_number": "407-600-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 MARLYN RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513319",
            "telephone_number": "407-600-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM QUALITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-600-3952"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.