Kingkastle Vet Home, LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

KINGKASTLE VET HOME, LLC

Doing business as

KINGKASTLE VET HOME
Kingkastle Vet Home LLC

Practice address

8023 W Bender Ave
Milwaukee, WI 53218-1009

Phone

(414) 446-5574

NPI assigned

May 1, 2023

Organization subpart

Yes

Parent organization

KINGKASTLE VET HOME LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Athray Lynette Patterson, ADMINISTRATOR

Title

Ceo

Phone

(414) 469-8480

Specialties & licenses 11

Addresses

Other names 4

• KINGKASTLE VET HOME Doing business as
• Kingkastle Vet Home LLC Doing business as
• KingKastle Vet Home, LLC Other name
• KingKastle Vet Home,LLC Former legal business name

Part of

Kingkastle Vet Home LLC

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1215625983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8070 N 51ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532233620",
            "telephone_number": "414-469-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8023 W BENDER AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532181009",
            "telephone_number": "414-446-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGKASTLE VET HOME, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINGKASTLE VET HOME LLC",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "ATHRAY",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-469-8480",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINGKASTLE VET HOME",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kingkastle Vet Home LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KingKastle Vet Home, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "KingKastle Vet Home,LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "KingKastle Vet Home, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tieana Chevelle King, RN
• Valerie King
• Vanessa Ann King
• Veronica King
• Kingdom Care Corporation
• Kingly Community Resource Center
• Kristin Kingma
• Kings Academy
• Kings Adult Family Home LLC
• Patricia Ann Kingsbery, ANP

• Respite Care in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Respite Care in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.