Kingdom Healthcare Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KINGDOM HEALTHCARE SERVICES

Practice address

100 NE 15TH St Ste 205
Homestead, FL 33030-4577

Phone

(786) 693-2719

Fax

(786) 789-5406

NPI assigned

Jan 25, 2023

Organization subpart

No

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

Authorized official

Name

Ketly Angoma, APRNNPI 1548789100

Title

Owner

Phone

(314) 620-6002

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Kingdom Healthcare Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kingdom Healthcare Services

  • Developmental Disabilities Clinic/Center
  • Homestead, FL
  • NPI 1013667732
  NPD tax ID

Practitioners 1

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

• Ketly Angoma

  • Family Nurse Practitioner
  • Boca Raton, FL
  • NPI 1548789100
  NPD Authorized official

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677283200000",
    "number": "1316653025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NE 15TH ST STE 205",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304577",
            "telephone_number": "786-309-2045",
            "fax_number": "786-789-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE 15TH ST STE 205",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304577",
            "telephone_number": "786-693-2719",
            "fax_number": "786-789-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-02-25",
        "certification_date": "2023-02-25",
        "status": "A",
        "authorized_official_last_name": "ANGOMA",
        "authorized_official_first_name": "KETLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-620-6002",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidz Medical Services
• Rebeca Ann Kimsey Markovich, M.D.
• Michael King
• Sesees King
• Kingdom Healthcare Services
• Kingss Transportation SRVC LLC
• Klash, LLC
• Charles F Knapp, RPH
• Jennifer Denise Knowles, RBT, BCABA
• Michelle Katlyn Konsky, RBT

• Home Health Agency in Homestead, FL
• Providers in Homestead, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.