Kingsbrook Senior Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KINGSBROOK SENIOR CARE

Practice address

521 E Bolt St
Fort Worth, TX 76110-6310

Phone

(817) 202-5752

NPI assigned

Nov 1, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Temitayo Sodimu, NURSE PRACTITIONER

Title

Director

Phone

(817) 202-5752

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Temitayo Osunde-Sodimu, NP

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1598912347
  NPD (past)

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1225338684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 KINGSBROOK TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761205081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E BOLT ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761106310",
            "telephone_number": "817-202-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBROOK SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "SODIMU",
        "authorized_official_first_name": "TEMITAYO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-202-5752",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Murissa Jadeyn King
• Samantha Rae King, LAT, ATC
• Sharice King, LMSW
• Sherri King, RN, SA
• Judy Brending Kingman, MS SLP
• Sandra Kingsbury, AGACNP-BC
• Samuel Kiniaru, ACNP
• Marcene R. Kinley, LCDC
• Ramon Larod Kinloch, MD
• Crystal Marie Kinmon, LCDC-I

• In Home Supportive Care Agency in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.