Kingdom Companion Nurse Registry

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KINGDOM COMPANION NURSE REGISTRY

Doing business as

Kingdom Companion Nurse Registry LLC

Practice address

1601 Belvedere Rd Ste 300E
West Palm Beach, FL 33406-1554

Phone

(561) 507-1601

Fax

(561) 214-6139

NPI assigned

Sep 6, 2024

Organization subpart

No

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

Authorized official

Name

Awilda TheodoreNPI 1992297634

Title

Owner/Administrator

Phone

(561) 507-1601

Specialties & licenses 2

Addresses

Other names 1

• Kingdom Companion Nurse Registry LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Awilda Theodore

  • Home Infusion Agency
  • West Palm Beach, FL
  • NPI 1992297634

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1184459323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 BELVEDERE RD STE 300E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334061554",
            "telephone_number": "561-507-1601",
            "fax_number": "561-214-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BELVEDERE RD STE 300E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334061554",
            "telephone_number": "561-507-1601",
            "fax_number": "561-214-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM COMPANION NURSE REGISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "THEODORE",
        "authorized_official_first_name": "AWILDA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "561-507-1601"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingdom Companion Nurse Registry LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beth M. King, PHD, ARNP, PMHNP-BC
• Katharine S King
• Minerva Melody King, LCSW
• Sherron Felicia King
• Kingdom Behavioral Solutions LLC
• Johnkeria Kinglocke
• Alexis Kinloch
• Carrington Kirby
• Samantha Kirby
• Hakan Kirimcan, COTA

• Home Health Agency in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.