Kingdom Services of Jacksonville LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

KINGDOM SERVICES OF JACKSONVILLE LLC

Practice address

630 Charter Oaks Blvd
Orange Park, FL 32065-3210

Phone

(904) 545-3356

NPI assigned

Nov 17, 2025

Organization subpart

No

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

Authorized official

Name

Frederick Story

Title

Founder

Phone

(904) 545-3356

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1205796570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 CHARTER OAKS BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320653210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 CHARTER OAKS BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320653210",
            "telephone_number": "904-545-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM SERVICES OF JACKSONVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "STORY",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "904-545-3356"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forrest King, M.D.
• Janiyah King
• Shameka Danielle King, ARNP
• Tiffani King, MD
• Kingdom Care Living Homemaker and Companion Services, LLC
• Kingsley Avenue Emergency Physicians LLC
• Kingsley Endoscopy Center LLC
• Kingsley RX LLC
• Chamonix Kinimaka, MD
• Jullia C. Kinser, DMD

• Non-emergency Medical Transport (VAN) in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.