NPIMap

Organization Active NPI

Professional Caring Kings LLC

  • Community/Behavioral Health Agency
  • Maricopa, AZ
National Provider Identifier
1265012116
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PROFESSIONAL CARING KINGS LLC
Practice address
43972 W Yucca LN
Maricopa, AZ 85138-4019
Phone
(775) 376-3246
NPI assigned
Apr 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Jalen WilliamsNPI 1760126452
Title
Owner
Phone
(775) 376-3246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X
Community/Behavioral Health Agency 251S00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

43972 W Yucca LN
Maricopa, AZ 85138-4019

Mailing address

43972 W Yucca LN
Maricopa, AZ 85138-4019
Phone (775) 376-3246

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Email

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1265012116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43972 W YUCCA LN",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851384019",
            "telephone_number": "775-376-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43972 W YUCCA LN",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851384019",
            "telephone_number": "775-376-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CARING KINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JALEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-376-3246"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Email",
            "affiliation": "N",
            "endpointDescription": "Mail",
            "address_1": "43972 W Yucca Ln",
            "city": "Maricopa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851384019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.