Kingdom Living

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

KINGDOM LIVING

Practice address

119 Windsor Dr
Swedesboro, NJ 08085-2519

Phone

(215) 681-0806

NPI assigned

Jun 12, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Paul Azzinaro

Title

Ceo/President

Phone

(215) 681-0806

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1255693586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WINDSOR DR",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080852519",
            "telephone_number": "215-681-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WINDSOR DR",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080852519",
            "telephone_number": "215-681-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "AZZINARO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "215-681-0806",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M Kaplan
• Karampreet Kaur, MD
• Kennedy Medical Group
• Emma Kerr, PA-C
• Elizabeth Kilpatrick-Fox, D.M.D.
• Klddmd1Pc
• Kristen Marie Kreutzberg, LAC
• Joshua Krysiak, PHARMD
• Rebecca Colona Lafleur, LPC
• Heather Laigaie

• Substance Abuse Rehabilitation Facility in Swedesboro, NJ
• Providers in Swedesboro, NJ by specialty
• Substance Abuse Rehabilitation Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.