Individual provider Active NPI

Klonda King

  • Home Health Aide
  • Saint Louis, MO
National Provider Identifier
1336535806
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
3321 Union Blvd
Saint Louis, MO 63115-1119
Phone
(636) 220-1395
Fax
(636) 220-1396
NPI assigned
Apr 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

3321 Union Blvd
Saint Louis, MO 63115-1119

Mailing address

6156 Lake Paddock Dr
Florissant, MO 63033-4721
Phone (314) 604-2285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Best Love & Care Adult Day Club, LLC CurrentSince Dec 6, 2022 Accepting new patients
Best Love & Care Home Services, LLC Current Accepting new patients
Best Love & Care Home Services, LLC CurrentSince Dec 6, 2022 Accepting new patients

Locations

128 Enchanted Pkwy
Ste 203
Manchester, MO 63021
Phone (636) 220-1395

3321 Union Blvd
Saint Louis, MO 63115
Phone (636) 220-1395

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1336535806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6156 LAKE PADDOCK DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630334721",
            "telephone_number": "314-604-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 UNION BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151119",
            "telephone_number": "636-220-1395",
            "fax_number": "636-220-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KLONDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-12",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.