S & B Kingdom Care L.L.C

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12302 Issued in FL

Legal business name

S & B KINGDOM CARE L.L.C

Practice address

10 Renn LN
Palm Coast, FL 32164-6633

Phone

(386) 313-5988

Fax

(386) 313-5989

NPI assigned

Jan 7, 2013

Last updated

Jan 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Notice

Title

Owner

Phone

(386) 334-6718

Specialties & licenses 1

Addresses

Other names 1

• S & B Kingdom Care L.L.C Former legal business name

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1316284607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RENN LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646633",
            "telephone_number": "386-313-5988",
            "fax_number": "386-313-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RENN LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646633",
            "telephone_number": "386-313-5988",
            "fax_number": "386-313-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & B KINGDOM CARE L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "NOTICE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-334-6718",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S & B Kingdom Care L.L.C",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Safeway Medical Transport

• Assisted Living Facility in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.